Individual
BILLIE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4200 LAKE OTIS PARKWAY, SUITE 304, ANCHORAGE, AK 99508
(907) 561-9444
(907) 561-9446
Mailing address
PO BOX 240444, ANCHORAGE, AK 99524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
649
AK
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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