Individual
THOMAS W HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4281
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD7759
—
AK
Enumeration date
05/23/2007
Last updated
09/24/2008
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