Individual
GREGORY EDWARD FAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3340 PROVIDENCE DR, STE 452, ANCHORAGE, AK 99508-4628
(907) 562-2120
(907) 562-6527
Mailing address
3340 PROVIDENCE DR, STE 452, ANCHORAGE, AK 99508-4628
(907) 562-2120
(907) 562-6527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ML60865675
WA
Other
Enumeration date
03/31/2018
Last updated
08/01/2022
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