Individual
DAVID RUSSELL FLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(800) 945-9877
(801) 733-5618
Mailing address
2100 LAKESIDE BLVD, STE 250, RICHARDSON, TX 75082-4351
(907) 452-2700
(801) 733-5618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4238
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193928800
US DEPT OF LABOR
AK
05
—
MD4238
—
AK
Enumeration date
07/25/2006
Last updated
03/13/2019
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