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Individual

DERYK SPENCER ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3125 E MERIDIAN PARK LOOP STE 300, WASILLA, AK 99654-7528
(907) 562-2277
Mailing address
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
103436
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1630343
AK
Enumeration date
09/13/2007
Last updated
10/17/2025
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