Individual
DR. NATALIA KORNEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
3976 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4644
(907) 222-9930
(503) 734-3808
Mailing address
3976 UNIVERSITY LAKE DR STE 300, ANCHORAGE, AK 99508-4644
(907) 222-9930
(907) 222-9931
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129052
AK
207V00000X
Obstetrics & Gynecology Physician
4301088654
MI
207V00000X
Obstetrics & Gynecology Physician
MD150768
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500623008
—
OR
01
—
R172907
MEDICARE PTAN
OR
Enumeration date
05/02/2007
Last updated
04/19/2018
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