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Individual

DR. DARRYL G ELROD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 W PARKS HWY STE 101, WASILLA, AK 99654-6939
(907) 357-7781
(907) 745-6573
Mailing address
1301 W PARKS HWY STE 101, WASILLA, AK 99654-6939
(907) 357-7781
(907) 357-7786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MEDS6184
AK
207V00000X
Obstetrics & Gynecology Physician
6184
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016699
AK
Enumeration date
09/29/2005
Last updated
08/15/2023
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