Individual
MATTHEW DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6124 E 22ND AVE, ANCHORAGE, AK 99504-3214
(907) 854-1772
Mailing address
6124 E 22ND AVE, ANCHORAGE, AK 99504-3214
(907) 854-1772
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
40177
AK
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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