Individual
WILLIAM JAMES MACKRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MICP
Contact information
Practice address
5630 B ST, ANCHORAGE, AK 99518-1641
(907) 441-8559
Mailing address
PO BOX 873405, WASILLA, AK 99687-3405
(907) 355-0311
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
MEDM179
AK
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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