NPI 1194704619

Maryellen Gordian, MD

Practitioner General Practice Physician Ft Richardson, AK

Practice location

Address: Bldg 60702, Ft Richardson, AK 99505
Phone: (907) 384-6017
Mailing address: PO Box 241769, Anchorage, AK 99524-1769

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2758 (AK)

Other General Practice providers in Alaska →

Registry record

NPI: 1194704619
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.