Individual
DANIEL DEWEESE THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
724 POSTAL SERVICE LOOP, FORT RICHARDSON, AK 99505-5001
(907) 384-0600
Mailing address
6300 E 112TH AVE, ANCHORAGE, AK 99516-1893
(907) 346-4674
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3441
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 3483
—
AK
Enumeration date
02/05/2008
Last updated
02/05/2008
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