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Individual

DR. ALLEN FORREST FREUDENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4725 E 112TH AVE, ANCHORAGE, AK 99516-1611
(907) 346-3219
Mailing address
4725 E 112TH AVE, ANCHORAGE, AK 99516-1611
(907) 346-3219

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA1590
AK

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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