Individual
DR. PETRA ANDREA ILLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5011 SPENARD RD STE 102, ANCHORAGE, AK 99517-3320
(907) 245-4359
(907) 245-2212
Mailing address
5011 SPENARD RD STE 102, ANCHORAGE, AK 99517-3320
(907) 245-4359
(907) 245-2212
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
4193
AK
Other
Enumeration date
11/02/2006
Last updated
08/17/2007
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