Individual
MR. SAM ADAM GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3149 MOUNTAIN VIEW DR, ANCHORAGE, AK 99501-3106
(907) 793-3629
Mailing address
9801 GRANGE DR APT 4, ANCHORAGE, AK 99515-4235
(907) 268-1893
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02505
—
AK
Enumeration date
03/11/2020
Last updated
03/11/2020
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