Individual
AMELIA STUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752-0161
(907) 442-3321
Mailing address
436 5TH AVENUE, KOTZEBUE, AK 99752-0161
(907) 442-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT019023
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT019023
—
PA
Enumeration date
06/04/2019
Last updated
12/01/2023
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