Individual
GORDON R. BOZARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3220 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 364-2663
(907) 364-2662
Mailing address
3220 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 364-2663
(907) 364-2662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5470
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD53872
—
AK
Enumeration date
07/10/2006
Last updated
01/30/2008
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