Individual
MR. STEPHEN PHILLIP GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12528 HAWK LANE, HOUSTON, AK 99694
(907) 892-6944
(907) 892-6945
Mailing address
PO BOX 299136, WASILLA, AK 99629-9136
(907) 892-6944
(907) 892-6945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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