Individual
DONALD A MORMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 A ST, ANCHORAGE, AK 99501
(907) 561-1800
(907) 562-4705
Mailing address
PO BOX 201773, ANCHORAGE, AK 99520-1773
(907) 770-2380
(907) 770-2390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
285
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209366
PHP GENERIC ID
—
01
—
A3024
BLUE CROSS
—
05
—
PTO285
—
AK
Enumeration date
03/27/2006
Last updated
01/28/2008
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