Individual
GARRET LAMENDOLA SITENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4381 E HILL RD, HOMER, AK 99603-8203
(907) 235-2358
(907) 235-9777
Mailing address
4381 E HILL RD, HOMER, AK 99603-8203
(907) 235-2358
(907) 235-9777
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD3811
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180034315
RR MEDICARE
AK
01
—
D08608864
DME/SUBMITTER ID
AK
05
—
MD3811
—
AK
Enumeration date
07/31/2006
Last updated
09/05/2008
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