Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETRA ANDREA ILLIG, M.D.
Active Sole ProprietorDR. PETRA ANDREA ILLIG, M.D. is a Legal Medicine healthcare provider located in ANCHORAGE, Alaska. NPI 1255410213 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · ANCHORAGE, AK
Registration Details
- NPI Number
- 1255410213
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (19.600573040308 yrs)
- Last Updated
- Aug 17, 2007
- License
-
4193 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5011 SPENARD RD STE 102ANCHORAGE, AK, 995173320Browse AK providers · Browse ZIP 99517
- Phone
- 9072454359
- Fax
- 9072452212
- Primary Specialty
-
Legal Medicine
209800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.