Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 3385 | AK |
NPI | 1225197411 |
---|---|
Provider Name | Sherrie Dee Richey |
First Address | Anchorage, AK 99523-0362 |
Second Address | Anchorage, AK 99508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 06/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F34705 | (02) | |
F34705 | (02) | AK |
MD1330 | (05) | AK |