Individual
DR. PHILLIP BRYCE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2700
(907) 729-2746
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2700
(907) 729-2746
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
18997
IA
208800000X
Urology Physician
Primary
8639
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732354
—
IA
05
—
1618083
—
AK
01
—
175947
HEALTHLINK
—
05
—
209901404
—
MO
01
—
252359
MIDLANDS CHOICE
—
01
—
28011
BLUE CROSS BLUE SHIELD
IA
01
—
421435525
TRICARE
—
Enumeration date
11/02/2006
Last updated
05/11/2015
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