Individual
ANGELA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 TUDOR CENTRE DR, #103, ANCHORAGE, AK 99508-5902
(907) 729-1269
Mailing address
4201 TUDOR CENTRE DR, STE 320, ANCHORAGE, AK 99508-5904
(907) 729-6350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP34551
—
AK
Enumeration date
05/03/2007
Last updated
11/27/2012
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