Individual
DR. LEONIE HORSTER DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1867 AIRPORT WAY, STE 130B, FAIRBANKS, AK 99701-4056
(907) 452-2178
(907) 452-3524
Mailing address
1867 AIRPORT WAY, STE 130B, FAIRBANKS, AK 99701-4056
(907) 452-2178
(907) 452-3524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2372
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2732
—
AK
Enumeration date
10/19/2006
Last updated
06/25/2008
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