Individual
JOSEPH HENRY LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3750 E COUNTRY FIELD CIR STE D, WASILLA, AK 99654-6659
(907) 357-6121
(907) 357-6171
Mailing address
PO BOX 871988, WASILLA, AK 99687-1988
(907) 357-6121
(907) 357-6171
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2767
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD02041
—
AK
Enumeration date
07/26/2005
Last updated
02/03/2023
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