Individual
MR. WILLIAM C SUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
5660 B STREET, ANCHORAGE, AK 99518-1641
(907) 562-0560
(907) 562-1617
Mailing address
PO BOX 110510, ANCHORAGE, AK 99511
(907) 562-0560
(907) 562-1617
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO4558
—
AK
Enumeration date
04/25/2007
Last updated
10/05/2023
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