Individual
DR. REGINA SUTTON CHENNAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2751 DEBARR RD, SUITE 280A, ANCHORAGE, AK 99508-2952
(907) 222-6888
(907) 222-6884
Mailing address
PO BOX 111045, ANCHORAGE, AK 99511-1045
(907) 222-6888
(907) 222-6884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5170
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD80853
—
AK
Enumeration date
03/21/2006
Last updated
03/31/2011
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