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NPI Code Detail

MEDICARE: TRIIN MINTON, MD

MEDICARE: TRIIN MINTON, 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
1207Q00000XFamily Medicine PhysicianAK

General Provider Information

NPI Number : 1659503951
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIIN MINTON, MD
Provider Business Mailing Address
First Line : PO BOX 241769
Second Line :
City : ANCHORAGE
State : AK
Zip : 99524-1769
Country : US
Telephone Number : 907-770-2301
Fax Number : 907-770-2325
Provider Business Practice Location Address
First Line : 9100 CENTENNIAL CIR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-1480
Country : US
Telephone Number : 907-350-8983
Fax Number :
Authorized Official
Title or Position : BILLING AGENT
Name : JOSEPH E BEATY
Credential :
Telephone Number : 907-770-2301
Provider Enumeration Date : 08/20/2009
Last Update Date : 08/20/2009

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Directions to “TRIIN MINTON, MD ” Practice Location

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