Individual
ELOY PONCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
(907) 729-6353
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7408
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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