Healthcare Provider Details

I. General information

NPI: 1871818583
Provider Name (Legal Business Name): STEVEN J DURNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 12/23/2022
Certification Date: 12/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 MDG/ JB ELMENDORF-RICHARDSON USAF 5955 ZEAMER AVENUE
ANCHORAGE AK
99506
US

IV. Provider business mailing address

673 MDG/ JB ELMENDORF-RICHARDSON USAF 5955 ZEAMER AVENUE
ANCHORAGE AK
99506
US

V. Phone/Fax

Practice location:
  • Phone: 907-580-2778
  • Fax:
Mailing address:
  • Phone: 907-580-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101250170
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101250170
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: