Individual
DAVID MATTHEW HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 WEST 5TH AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3139
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2369
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2369
—
AK
Enumeration date
01/25/2006
Last updated
04/26/2012
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