Individual
SUSAN K. FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2741 DEBARR RD, SUITE C-315, ANCHORAGE, AK 99508-2953
(907) 562-4958
Mailing address
2741 DEBARR RD, SUITE C-315, ANCHORAGE, AK 99508-2953
(907) 562-4958
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
AA3070
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD3070
—
AK
Enumeration date
02/21/2007
Last updated
07/09/2007
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