Individual
MAUREEN PATRICIA LONGWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3099 NOWELL AVE, 119 SEWARD ST, SUITE 17, JUNEAU, AK 99801-1943
(907) 209-2005
(907) 523-9355
Mailing address
3099 NOWELL AVE, JUNEAU, AK 99801-1943
(907) 209-2005
(907) 523-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2997
AK
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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