Individual
DOUGLAS PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 LAKE OTIS PKWY STE 108, ANCHORAGE, AK 99508-5230
(907) 563-3145
(833) 464-5196
Mailing address
4100 LAKE OTIS PKWY STE 108, ANCHORAGE, AK 99508-5230
(907) 563-3145
(833) 464-5196
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MEDS5369
AK
Other
Enumeration date
02/21/2006
Last updated
11/27/2023
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