Individual
MR. BARRY MATTHISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1000 E DIMOND BLVD STE 202, ANCHORAGE, AK 99515-2029
(907) 349-4212
(907) 344-3381
Mailing address
1000 E DIMOND BLVD STE 202, ANCHORAGE, AK 99515-2008
(907) 349-4212
(907) 344-3381
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
228
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1228
—
AK
Enumeration date
05/18/2007
Last updated
05/03/2017
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