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1053583211
SAMUEL THOMAS DUNN WALLER
ANCHORAGE, AK
NPI
1053583211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: CO XXXXXXXXX)
Enumeration Date
2008-03-27
Last Update Date
2019-10-08
Business Address
SAMUEL THOMAS DUNN WALLER MD
4100 LAKE OTIS PKWY STE 320
ANCHORAGE, AK 99508-5231
Phone number: 907-563-4810
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Mailing Address
SAMUEL THOMAS DUNN WALLER MD
4100 LAKE OTIS PKWY STE 320
ANCHORAGE, AK 99508-5231
Phone number: 907-563-4810
Copy
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