Individual
DR. DENISE LYNN THANEPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1345 W 9TH AVE, ANCHORAGE, AK 99501-3219
(907) 272-2557
(907) 274-4932
Mailing address
1345 W 9TH AVE, ANCHORAGE, AK 99501-3219
(907) 272-2557
(907) 274-4932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AA096
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP0096
—
AK
Enumeration date
08/08/2006
Last updated
04/01/2008
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