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Individual

EDWARD GODFREY SCHULTZ III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BHCA

Contact information

Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6801
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
225800000X
Recreation Therapist
Primary

Other

Enumeration date
01/19/2024
Last updated
02/18/2026
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