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NPI Code Detail

MEDICARE: PATRICK M NOLAN DO INC

MEDICARE: PATRICK M NOLAN DO INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianAA1470AK
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianAA1470AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427111830
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICK M NOLAN DO INC
Provider Business Mailing Address
First Line : 3300 PROVIDENCE DRIVE
Second Line : #206
City : ANCHORAGE
State : AK
Zip : 99508-4620
Country : US
Telephone Number : 907-561-6100
Fax Number : 907-563-4265
Provider Business Practice Location Address
First Line : 3300 PROVIDENCE DRIVE
Second Line : SUI 206
City : ANCHORAGE
State : AK
Zip : 99508-4620
Country : US
Telephone Number : 907-561-6100
Fax Number : 907-563-4265
Authorized Official
Title or Position : PHYSICIAN
Name : PATRICK M NOLAN
Credential : DO
Telephone Number : 907-561-6100
Provider Enumeration Date : 12/18/2006
Last Update Date : 02/27/2008

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