Individual
DR. CONLEY L MARCUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2011 ABBOTT RD, ANCHORAGE, AK 99507
(907) 336-4400
(907) 336-4414
Mailing address
7463 WHITE HAWK DR, ANCHORAGE, AK 99507-4808
(907) 333-5305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
204
AK
152W00000X
Optometrist
5327 T2236
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204206
COLEVISION INSURANCE #
—
01
—
360756
NATIONAL VISION (NVA) #
—
05
—
OD0204
—
AK
Enumeration date
09/27/2006
Last updated
09/07/2012
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