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Individual

DR. JOHN MCNATT GILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4103
(907) 279-8486
(907) 257-8188
Mailing address
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4103
(907) 279-8486
(907) 257-8188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5334
AK
207Q00000X
Family Medicine Physician
DR.0038231
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029246
KAISER COMMERCIAL NUMBER
CO
05
MD2989
AK
Enumeration date
11/14/2006
Last updated
03/07/2023
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