Deborah Digrande Stallman
Family Medicine in Eagle River, AK. Individual provider (NPI-1).
NPI number1487471348
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1487471348
- Entity type
- Individual (NPI-1)
- Name
- Deborah Digrande Stallman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MEDO3651 | AK | Yes |
Practice location
19231 Monastery DrEagle River, AK 99577-9214
Phone 907-696-1441
Mailing address
19231 Monastery DrEagle River, AK 99577-9214
Phone 907-696-1441
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