Individual
SAMANTHA DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3300 PROVIDENCE DR STE B-104, ANCHORAGE, AK 99508-4690
(907) 212-7997
(907) 212-8225
Mailing address
3300 PROVIDENCE DR STE B-104, ANCHORAGE, AK 99508-4690
(907) 212-7997
(907) 212-8225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125-XXXXXX
IL
207Q00000X
Family Medicine Physician
125074546
IL
207Q00000X
Family Medicine Physician
2022002658
MO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
231231
AK
Other
Enumeration date
04/04/2019
Last updated
06/19/2025
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