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Individual

STEPHEN M STRALKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
401 E NORTHERN LIGHTS BLVD, SUITE 102, ANCHORAGE, AK 99503-2814
(907) 276-3937
(907) 278-3937
Mailing address
401 E NORTHERN LIGHTS BLVD, SUITE 102, ANCHORAGE, AK 99503-2814
(907) 276-3937
(907) 278-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AA122
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5707170001
DMEPOS SUPPLIER NUMBER
AK
05
OD11221
AK
Enumeration date
10/11/2007
Last updated
10/12/2007
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