Daniel J Mardones Md Inc | |
2523 Debarr Road Anchorage AK 99508-2948 | |
(808) 965-7128 | |
Not Available |
Full Name | Daniel J Mardones Md Inc |
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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 |
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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 |
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Provider Enumeration Date | 10/05/2020 |
Last Update Date | 10/05/2020 |
Certification Date | 10/05/2020 |
Medicare PECOS PAC ID | 0749600849 |
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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 |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194705475 PECOS PAC ID: 1759701873 Enrollment ID: I20201012001116 |
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