Individual
CASEY WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 276-1131
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218170
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
08/26/2024
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