| Daniel J Mardones Md Inc | |
|
2523 Debarr Road Anchorage AK 99508-2948 | |
| (808) 965-7128 | |
| Not Available |
| Full Name | Daniel J Mardones Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2523 Debarr Road, Anchorage, Alaska |
| Authorized Official Name and Position | Daniel J Mardones (PRESIDENT) |
| Authorized Official Contact | 8089657128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Mardones Md Inc Po Box 241889 Anchorage AK 99524-1889 Ph: (907) 751-8142 | Daniel J Mardones Md Inc 2523 Debarr Road Anchorage AK 99508-2948 Ph: (808) 965-7128 |
| NPI Number | 1750988549 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Medicare PECOS PAC ID | 0749600849 |
|---|---|
| Medicare Enrollment ID | O20201012000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750988549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Daniel J Mardones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194705475 PECOS PAC ID: 1759701873 Enrollment ID: I20201012001116 |
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