Individual
TIMOTHY MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1746 TOKLAT ST, ANCHORAGE, AK 99508-3251
(907) 868-3965
Mailing address
PO BOX 140423, ANCHORAGE, AK 99514-0423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
981136
AK
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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