Individual
LEROY D. NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
207 E DIMOND BLVD, ANCHORAGE, AK 99515-1909
(907) 344-5633
(907) 344-5688
Mailing address
207 E DIMOND BLVD, ANCHORAGE, AK 99515-1909
(907) 344-5633
(907) 344-5688
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
123
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0082
—
AK
Enumeration date
12/20/2006
Last updated
07/09/2007
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