Individual
CODY MICHAEL AUGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3760 PIPER ST, SUITE 1060, ANCHORAGE, AK 99508-4665
(907) 212-6522
Mailing address
1201 E 36TH AVE, ANCHORAGE, AK 99508-4372
(907) 562-9229
(907) 212-6593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6549
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1622
—
AK
Enumeration date
07/03/2012
Last updated
02/06/2013
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