Individual
PATRICIA JANE CLARK CAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-3100
Mailing address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-3100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129907
AK
207V00000X
Obstetrics & Gynecology Physician
2011-00794
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC1450
—
SC
Enumeration date
07/10/2007
Last updated
01/21/2020
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