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Individual

DOUGLAS J SWANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2751 DEBARR RD, SUITE 390, ANCHORAGE, AK 99508-2953
(907) 274-7977
(907) 274-7901
Mailing address
PO BOX 140349, ANCHORAGE, AK 99514-0349
(907) 274-7977
(907) 274-7901

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6958
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0208565
WASHINTON STATE D.O.L.
05
MD6958
AK
01
P00004360
RAILROAD MC
Enumeration date
09/22/2006
Last updated
07/08/2007
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