PEBBLES DAKOTA SHANLEY

ANCHORAGE, AK
NPI1962842260
Former NamePEBBLES DAKOTA CODY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  108535)
Enumeration Date2013-07-01
Last Update Date2020-10-02
Business Address
PEBBLES DAKOTA SHANLEY M.D.
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
Mailing Address
PEBBLES DAKOTA SHANLEY M.D.
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068