Individual
TERYL ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3976 UNIVERSITY LAKE DR STE 300, ANCHORAGE, AK 99508-4644
(907) 222-9930
Mailing address
3976 UNIVERSITY LAKE DR STE 300, ANCHORAGE, AK 99508-4644
(907) 222-9930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4931
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015079
—
AK
Enumeration date
09/14/2006
Last updated
07/21/2022
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