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Individual

DANIEL MARTIN TIEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
821 N ST STE 102, ANCHORAGE, AK 99501-3285
(253) 844-4327
Mailing address
917 PACIFIC AVE STE 600, TACOMA, WA 98402-4437
(253) 844-4327

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8150
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1615645
AK
Enumeration date
06/14/2011
Last updated
08/06/2025
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