Individual
LEONARD D SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4661
(907) 261-3641
(907) 565-8066
Mailing address
3427 E TUDOR RD, STE A, ANCHORAGE, AK 99507-1282
(907) 563-3679
(907) 565-8066
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2697
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDZ697
—
AK
Enumeration date
09/26/2005
Last updated
07/08/2015
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