Individual
SAM J CHELMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 942-5496
Mailing address
4133 CLIFFSIDE RD, KODIAK, AK 99615-7109
(907) 942-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7072
AK
Other
Enumeration date
06/18/2008
Last updated
01/04/2013
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