Individual
DR. DANITA NEVITT KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5001
(907) 361-5345
Mailing address
HC 62 BOX 5217, DELTA JUNCTION, AK 99737-9601
(907) 323-3034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3184
AK
207Q00000X
Family Medicine Physician
3184
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11272
—
AK
Enumeration date
11/17/2006
Last updated
12/21/2011
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