Gudor, Robert C
Gudor, Robert C is an individual health care provider with primary practice located at 2801 Debarr Rd , Anchorage AK 99508-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gudor, Robert C can be contacted via phone (907) 258-2149.Contact Information
Primary practice address
2801 Debarr Rd
Anchorage AK 99508-2932
Phone: (907) 258-2149
Fax: (907) 258-2147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2333 | Alaska |
Profile Details
NPI number | 1053300731 |
---|---|
LBN Legal business name | Gudor, Robert C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2005 |
Last updated | Dec 13th, 2007 - about 17 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053300731 | NPPES |
Washington | Other | 8428435 | WA MEDICAID |
Washington | Other | 0148718 | WA MEDICAID |
Washington | MEDICAID | MD99041 | WA MEDICAID |
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