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Individual

TIMOTHY PAUL WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PEER SPECIALIST

Contact information

Practice address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 222-2448
(907) 268-6275
Mailing address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 222-2448
(907) 268-6275

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
AK

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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