Individual
DR. BRUCE GENTRY ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 729-1234
(907) 729-1226
Mailing address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 729-1234
(907) 729-1226
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13012
MS
Other
Enumeration date
10/13/2005
Last updated
03/20/2012
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