Search › Alaska › 152W00000X
Davis Staley
NPI 1497051858 · on the registry since 2011 · sole proprietor
Practice
- Address
- 330 W Dimond Blvd
Anchorage, AK 99515 - Phone
- (907) 267-7102
- Fax
- (907) 349-7039
- Organisation at this address
- Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1001 S Knik Goose Bay Rd, Wasilla, AK
- 3235 S Leavitt St, Chicago, IL
- 3235 S Leavitt St, Chicago, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-04
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