NPI 1578783411

William C Sundberg, CPO

Practitioner Prosthetic/Orthotic Supplier Anchorage, AK

Practice location

Address: 5660 B Street, Anchorage, AK 99518-1641
Phone: (907) 562-0560
Fax: (907) 562-1617
Mailing address: PO Box 110510, Anchorage, AK 99511

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1578783411
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2007
Record last updated: 5 Oct 2023

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.