Individual
JOHN J KOTTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 261-6341
(907) 565-8066
Mailing address
PO BOX 213689, ANCHORAGE, AK 99521-3689
(907) 333-9993
(907) 565-8066
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
593
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0593
—
AK
Enumeration date
07/06/2006
Last updated
07/08/2007
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