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JOHN DOUGLAS STACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5955 ZEAMER AVENUE, JOINT BASE ELMENDORF RICHARDSON, ANCHORAGE, AK 99506
(907) 580-1571
(907) 580-1571
Mailing address
5955 ZEAMER AVENUE, JOINT BASE ELMENDORF RICHARDSON, ANCHORAGE, AK 99506
(907) 580-1571
(907) 580-1575

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
O-0808
ID
207X00000X
Orthopaedic Surgery Physician
Primary
OT017816
PA
208D00000X
General Practice Physician
O-0808
ID

Other

Enumeration date
05/15/2013
Last updated
04/06/2026
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