Individual
EGOR NIKOLAYEVICH SHCHEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8130 PECK AVE, ANCHORAGE, AK 99504-1422
(907) 444-4831
Mailing address
8130 PECK AVE, ANCHORAGE, AK 99504-1422
(907) 444-4831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-44873
TRICARE
AK
Enumeration date
12/12/2017
Last updated
12/12/2017
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