Individual
BRIAN MCCORISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-2200
Mailing address
5647 CANNON WOODS RD, ANCHORAGE, AK 99516-4521
(907) 267-9473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086318
AK
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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