Individual
DR. TARAH RUTH DESATOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7640
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6799
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PENDING
AK
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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