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Individual

TIMOTHY A GLEASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
250 HOSPITAL PLACE, CENTRAL PENINSULA GENERAL HOSPITAL, SOLDOTNA, AK 99669
(907) 714-4483
(907) 714-4686
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2544
AK

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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