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NPI Code Detail

MEDICARE: HEATH ALLEN D.O.

MEDICARE: HEATH ALLEN D.O.
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
1207L00000XAnesthesiology Physician169913AK
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831622638
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATH ALLEN D.O.
Provider Business Mailing Address
First Line : 9700 SPRING HILL DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4311
Country : US
Telephone Number : 509-470-4702
Fax Number :
Provider Business Practice Location Address
First Line : 2801 DEBARR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2932
Country : US
Telephone Number : 907-276-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 03/12/2026

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