NPI 1962761973

Trevor Dale Munger, CPO

Practitioner Orthotist Wasilla, AK

Practice location

Address: 1700 E Bogard Rd STE 104 Building B, Wasilla, AK 99654-6563
Phone: (907) 743-9991
Fax: (907) 743-9992
Mailing address: 5701 Lake Otis Pkwy STE 400, Anchorage, AK 99507-1778

Registered specialties (3)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO01700 (DE)

Other Orthotist providers in Alaska →

Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPO01700 (DE)

Other Pedorthist providers in Alaska →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO01700 (DE)

Other Prosthetist providers in Alaska →

Registry record

NPI: 1962761973
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2012
Record last updated: 10 May 2012

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.