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NPI Code Detail

MEDICARE: MR. GREGORY PAUL GEDDES BHCA

MEDICARE: MR. GREGORY PAUL GEDDES BHCA
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1467017376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREGORY PAUL GEDDES BHCA
Provider Business Mailing Address
First Line : 7033 E TUDOR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1262
Country : US
Telephone Number : 907-729-6801
Fax Number : 907-729-5180
Provider Business Practice Location Address
First Line : 4000 SAN ERNESTO AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2874
Country : US
Telephone Number : 907-729-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 03/09/2026

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Directions to “ MR. GREGORY PAUL GEDDES BHCA” Practice Location

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