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Organization

MATT A. HEILALA, DPM INC.

Active
Other names
Alaska Foot & Ankle Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MATT A. HEILALA D.P.M. (PRESIDENT)
(907) 569-3668
Entity
Organization

Contact information

Practice address
4100 LAKE OTIS PKWY, SUITE 312, ANCHORAGE, AK 99508-5222
(907) 569-3668
(907) 569-3669
Mailing address
4100 LAKE OTIS PKWY, SUITE 312, ANCHORAGE, AK 99508-5222
(907) 569-3668
(907) 569-3669

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
3497
AK
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
4087
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PD3497
AK
05
PD5195
AK
Enumeration date
09/21/2006
Last updated
08/22/2020
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