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Individual

DR. LAURA LOUISE SHIVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4315 DIPLOMACY DR, ANMC OTOLARYNGOLOGY DEPARTMENT, ANCHORAGE, AK 99508-5926
(907) 729-1400
Mailing address
4315 DIPLOMACY DR, ANMC OTOLARYNGOLOGY DEPARTMENT, ANCHORAGE, AK 99508-5926
(907) 729-1400

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
7920
AK

Other

Enumeration date
04/22/2008
Last updated
08/27/2013
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