Individual
GREGG MOTONAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4404
Mailing address
2840 PELICAN DR, ANCHORAGE, AK 99502-1663
(907) 677-6834
(907) 677-6832
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5364
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3020
—
AK
Enumeration date
08/09/2006
Last updated
07/10/2020
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