Individual
MENDY ANN SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-8901
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 891-4349
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
192284
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/19/2022
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