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
Fax: (907) 258-2147
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053300731 NPPES
Washington Other 8428435 WA MEDICAID
Washington Other 0148718 WA MEDICAID
Washington MEDICAID MD99041 WA MEDICAID

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