Individual
NICHOLAS HERMAN FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1201 E 36TH AVE, ANCHORAGE, AK 99508-4372
(907) 562-9229
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(907) 212-6531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6542
AK
208M00000X
Hospitalist Physician
Primary
6542
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1668
—
AK
Enumeration date
07/02/2012
Last updated
02/05/2021
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