Individual
GEORGE CALVIN FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 RICHMOND AVE, ANCHORAGE, AK 99508-1134
(907) 743-2996
Mailing address
3609 RICHMOND AVE, ANCHORAGE, AK 99508-1134
(907) 743-2996
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6484904
—
AK
Enumeration date
06/07/2021
Last updated
06/07/2021
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