Individual
MS. ILONA FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4045 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5211
(907) 562-4045
(907) 562-4047
Mailing address
4045 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5211
(907) 562-4045
(907) 562-4047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2192
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD21922
—
AK
Enumeration date
09/20/2006
Last updated
07/08/2007
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