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Individual

ROBERT BRENTESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2751 DEBARR RD STE 360, ANCHORAGE, AK 99508-6809
(907) 792-7920
Mailing address
10080 E VALLEY CREST DR, PALMER, AK 99645-7713

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
210633
AK
2085R0202X
Diagnostic Radiology Physician
27426
MS
2085R0202X
Diagnostic Radiology Physician
81389
WI

Other

Enumeration date
04/20/2018
Last updated
08/16/2024
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