Individual
E LEANNE CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
131 1ST AVENUE SOUTH, HAINES, AK 99827
(907) 766-6300
Mailing address
PO BOX 1549, HAINES, AK 99827-1549
(907) 766-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA1435
AK
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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