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Individual

DR. JORDAN TAYLOR MACNEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 DEBARR RD, ANCHORAGE, AK 99508
(907) 276-1131
Mailing address
1535 BANNISTER DR, ANCHORAGE, AK 99508-3929
(907) 885-4373

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153471
AK
390200000X
Student in an Organized Health Care Education/Training Program
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2015
Last updated
03/20/2023
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