Individual
GRANT T RODERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1917 ABBOTT RD, SUITE 100, ANCHORAGE, AK 99507
(907) 278-2741
(907) 743-8284
Mailing address
1917 ABBOTT RD, SUITE 100, ANCHORAGE, AK 99507-3448
(907) 278-2741
(907) 743-8284
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
AK4470
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0183
—
AK
Enumeration date
07/22/2006
Last updated
02/27/2013
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