Individual
ENLOW RAYMOND WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 LATHROP ST, SUITE 100, FAIRBANKS, AK 99701-5930
(907) 452-1761
(907) 452-6361
Mailing address
PO BOX 55918, NORTH POLE, AK 99705-0918
(907) 488-1442
(907) 452-6361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA3094AK
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3094
—
AK
Enumeration date
09/20/2006
Last updated
12/15/2009
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