Individual
DR. MARK A. KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 PROVIDENCE DR STE A351, ANCHORAGE, AK 99508-4621
(907) 212-4824
(907) 212-4831
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
161162
AK
2080P0205X
Pediatric Endocrinology Physician
ME95389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936164
—
AL
05
—
05984726
—
MS
05
—
274908400
—
FL
05
—
K171969
—
AK
Enumeration date
11/02/2006
Last updated
04/12/2021
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