Individual
NICHOLAS BAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7254
(907) 357-2332
(907) 357-9593
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 864-4625
(907) 313-1540
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
185227
AK
Other
Enumeration date
05/01/2017
Last updated
11/27/2023
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