Individual
ROBERT PHILLIP HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 W FIREWEED LN, ANCHORAGE, AK 99503-2562
(907) 770-0862
Mailing address
PO BOX 384, SUTTON, AK 99674-0384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28007
AK
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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