Nathan Kasukonis D.O.

NPI 1336362409 - Family Medicine - 207Q00000X

NPI Details
NPI 1336362409
Gender Male
Enumeration Date 04/10/2007
Last Updated 12/18/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE AK, 99508-4129, US
Phone (907) 279-8486
Fax (907) 677-5614
Business Location
2211 E NORTHERN LIGHTS BLVD
ANCHORAGE AK, 99508-4129, US
Phone (907) 257-8144
Fax (907) 677-5614
Toxanomy
Taxonomy Code 207Q00000X
License State Alaska
License Number AK6583
Remove 1336362409 NPI Number
 

According to our database, Nathan Kasukonis D.O. NPI is 1336362409, taxonomy code is 207Q00000X and license number is AK6583, license state is located at Alaska. Nathan Kasukonis D.O. physically located at 2211 E Northern Lights Blvd, Anchorage AK, 99508-4129. NPI Number Nathan Kasukonis D.O. has the Individual type.

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1336362409 NPI number is provided on an as is basis without warranty of any kind. 1336362409 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan Kasukonis D.O. are for informational purposes only.