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Individual

DR. DANIEL MARDONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2530 DEBARR RD, ANCHORAGE, AK 99508-2948
(907) 265-4220
(907) 264-3515
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
3427
AK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-7483
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD02511
AK
Enumeration date
01/20/2006
Last updated
02/03/2023
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