Individual
MR. DALE LEROY THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2800 PROVIDENCE DR, ANCHORAGE, AK 99508-4623
(907) 269-7167
(907) 269-7251
Mailing address
2800 PROVIDENCE DR, ANCHORAGE, AK 99508-4623
(907) 269-7167
(907) 269-7251
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
283
AK
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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