Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 1173 | AK |
NPI | 1083725899 |
---|---|
Provider Name | David A Hemry |
First Address | Anchorage, AK 99508 |
Second Address | Anchorage, AK 99508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C97110 | (02) | |
MD1173 | (05) | AK |