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Search › Alaska › 171M00000X

Glen Fazakerley, CDCI

NPI 1306142781 · on the registry since 2011

Practice

Address
201 Deermount St
Ketchikan, AK 99901
Phone
(907) 225-7825
Fax
(907) 225-1541
Organisation at this address
Community Connections
Community Connections
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2011-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska