Individual
DR. STEPHANIE L. ILLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(909) 578-1381
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8450
AK
Other
Enumeration date
05/08/2007
Last updated
08/28/2023
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