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ANTHONY LEE WHEELER

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1114079308

Organizational Registrant:
Organization Name:  ANTHONY LEE WHEELER
Organization is not Subpart
Authorized Official:  JAMES ERNEST YATES  MEDICAL DIRECTOR  907--73-32708

Location and contact information for practice:
125 FIRST ST BOX 1148 TALKEETNA, AK 99676 US
Tel: 907-733-2708  Fax: --

Contact information for business:
PO BOX 1148 125 FIRST ST TALKEETNA, AK 99676-1148 US
Tel: 907-733-2708  Fax: --

Registration Information:
NPI: 1114079308
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AK3773

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PH 37732AK05
MD 37732AK05




HEALTH CARE JOBS AK - Page 1



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