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Individual

DR. ROBERT A LADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 PROVIDENCE DR, SUITE 248, ANCHORAGE, AK 99508-4615
(907) 261-3650
Mailing address
PO BOX 110977, ANCHORAGE, AK 99511-0977
(907) 565-6000
(866) 977-2562

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4939
AK
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
6495
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000127231
ANTHEM BLUECROSS/BLUESHEI
OH
01
100285
KAISER
OH
01
140005608
RAILROAD MEDICARE
OH
05
2060022
OH
01
341097565Q
SUMMACARE
OH
01
729002
BUCKEYE COMMUNITY HEALTH
OH
01
90128
QUALCHOICE
OH
05
MD0495
AK
Enumeration date
04/10/2006
Last updated
04/22/2013
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