Individual
DR. TIMOTHY COALWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4103
(907) 279-8486
Mailing address
3801 UNIVERSITY LAKE DR STE 301, ANCHORAGE, AK 99508-4658
(907) 777-1850
(907) 561-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3354
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012877
—
AK
Enumeration date
11/14/2006
Last updated
03/07/2023
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