Healthcare Provider Details

I. General information

NPI: 1831622638
Provider Name (Legal Business Name): HEATH ALLEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 DEBARR RD
ANCHORAGE AK
99508-2932
US

IV. Provider business mailing address

9700 SPRING HILL DR
ANCHORAGE AK
99507-4311
US

V. Phone/Fax

Practice location:
  • Phone: 907-276-1131
  • Fax:
Mailing address:
  • Phone: 509-470-4702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number169913
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: