Individual
ROBERT C GUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 258-2149
(907) 258-2147
Mailing address
PO BOX 202149, ANCHORAGE, AK 99520-2149
(907) 258-2149
(907) 258-2147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2333
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148718
WA DEPT. OF LABOR
WA
01
—
8428435
WA MEDICAID
WA
05
—
MD99041
—
AK
Enumeration date
10/17/2005
Last updated
12/13/2007
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