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Individual

DR. HAL BRET WILLARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-2538
Mailing address
1398 N RIVER ROCK CIR, PALMER, AK 99645
(907) 360-2103

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
29379
NE
207N00000X
Dermatology Physician
Primary
29379
NE
208D00000X
General Practice Physician
29379
NE

Other

Enumeration date
02/11/2015
Last updated
03/14/2026
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