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Individual

CARL STANBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2803
(907) 276-8052
Mailing address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2803
(907) 276-8052

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15397
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050079788
RAILROAD MEDICARE
TN
05
3006337
TN
01
4012694
BCBS
TN
01
64929581
KY MEDICAID
KY
Enumeration date
06/14/2006
Last updated
04/14/2017
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