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Individual

DR. ELIZABETH A. FUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
3300 PROVIDENCE DRIVE, B TOWER, SUITE 314, PROVIDENCE SENIOR CARE CENTER, ANCHORAGE, AK 99508
(907) 212-3420
(907) 212-3429
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3486
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1573478
AK
01
P01051156
MEDICARE RAILROAD
AK
Enumeration date
04/16/2010
Last updated
09/23/2020
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