Individual
TARA MICHELLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 LAKE OTIS PKWY STE 216, ANCHORAGE, AK 99508
(907) 563-2873
(907) 562-5852
Mailing address
4100 LAKE OTIS PKWY STE 216, ANCHORAGE, AK 99508-5230
(907) 563-2873
(907) 562-5852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
126939
AK
Other
Enumeration date
09/15/2016
Last updated
09/13/2018
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