Individual
ERIK MARSHALL KUSSRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2454
AK
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5068
AK
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5068
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014399
—
AK
Enumeration date
02/28/2006
Last updated
10/23/2025
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