Anderson, Deryk Spencer

Anderson, Deryk Spencer is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy Suite 300, Anchorage AK 99508-5234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Deryk Spencer can be contacted via phone (907) 562-2277.

Contact Information

Primary practice address
3801 Lake Otis Pkwy Suite 300 Anchorage AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 103436 Alaska

Profile Details

NPI number 1558556399
LBN Legal business name Anderson, Deryk Spencer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Nov 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558556399 NPPES
Alaska MEDICAID 1630343

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