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Individual

ELISHA T POWELL IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
207X00000X
Orthopaedic Surgery Physician
6417
AK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
6417
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008588
AK
Enumeration date
07/28/2006
Last updated
10/23/2025
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