Individual
LOYAL SHANE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
786 D ST, ANCHORAGE, AK 99505-1023
(907) 384-6000
Mailing address
4076 NEELY ROAD, BUILDING 4076 ROOM 1B-201, FORT WAINWRIGHT, AK 99703-7440
(907) 384-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
192430
AK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
192430
AK
208D00000X
General Practice Physician
192430
AK
Other
Enumeration date
06/10/2019
Last updated
08/13/2025
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