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Individual

MARCUS WELDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44539 STERLING HWY, SUITE 206, SOLDOTNA, AK 99669-7938
(907) 262-9400
(907) 262-9422
Mailing address
610 E 5TH AVE, ANCHORAGE, AK 99501-2731
(907) 258-3498
(907) 258-0171

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1073846333
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073846333
AK
Enumeration date
08/30/2010
Last updated
08/30/2010
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