Individual
DR. SCOTT C DEBERARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9220 LAKE OTIS PKWY, STE 9, ANCHORAGE, AK 99507-4249
(907) 344-0200
(907) 344-0214
Mailing address
9220 LAKE OTIS PKWY, STE 9, ANCHORAGE, AK 99507-4249
(907) 344-0200
(907) 344-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AK 4406
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK4406
LICENSE
AK
Enumeration date
06/10/2005
Last updated
07/08/2007
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