Search › Alaska › 172V00000X

Dick Kugzruk, CHA III

NPI 1578825956 · on the registry since 2012

Practice

Address
85058 West Clarence Road
Brevig, AK 99785
Phone
(907) 642-4311
Fax
(907) 642-2216

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-12

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