Individual
MR. BILLY DAVID SHORTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHAP
Contact information
Practice address
214 DING HOW LANE, BOX 51, OLD HARBOR, AK 99643
(907) 286-2232
Mailing address
214 DING HOW LANE, BOX 51, OLD HARBOR, AK 99643
(907) 286-2232
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/26/2013
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