Individual
DR. ROBERTO IADEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 261-5690
Mailing address
3501 E 42ND AVE APT 124, ANCHORAGE, AK 99508-5449
(317) 513-8221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021755A
IN
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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