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NPI Code Detail

MEDICARE: MARY C TOTTEN MD

MEDICARE:   MARY C TOTTEN  MD
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
1174400000XSpecialist4768AK

General Provider Information

NPI Number : 1487602066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY C TOTTEN MD
Provider Business Mailing Address
First Line : 4335 SOUTHPARK BLUFF DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99516-4820
Country : US
Telephone Number : 907-301-1312
Fax Number :
Provider Business Practice Location Address
First Line : 4335 SOUTHPARK BLUFF DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99516-4820
Country : US
Telephone Number : 907-301-1312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 02/14/2008

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Directions to “ MARY C TOTTEN MD” Practice Location

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