Healthcare Provider Details

I. General information

NPI: 1538203617
Provider Name (Legal Business Name): STEVEN QUAN FOY C.P.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LATOUCHE ST SUITE 100
ANCHORAGE AK
99508-4208
US

IV. Provider business mailing address

3400 LATOUCHE ST SUITE 100
ANCHORAGE AK
99508-4208
US

V. Phone/Fax

Practice location:
  • Phone: 907-561-1777
  • Fax: 907-561-2157
Mailing address:
  • Phone: 907-561-1777
  • Fax: 907-561-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: