Individual
MEGAN KATHLEEN HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-6690
Mailing address
10271 MIDDLEROCK RD, ANCHORAGE, AK 99507-1229
(907) 378-6035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
120168
AK
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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