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Dr. Charles Michael Herndon, MD
Addiction Medicine (Internal Medicine) Physician in Anchorage, Alaska
NPI 1326062431

Charles Michael Herndon is an Addiction Medicine (Internal Medicine) Physician based in Portland, AK and is specialized in Addiction Medicine. Charles Michael Herndon practices in Anchorage, AK and has the professional credentials of MD. The NPI Number for Charles Michael Herndon is 1326062431 and holds a License No. 2370 (Alaska).

The current practice location address for Charles Michael Herndon is 3760 Piper St, Anchorage, AK and can be reached out via phone at 907-212-6970 and via fax at 907-212-6971.

Location: 3760 Piper St, Anchorage, AK, 97208-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326062431
Provider Name
Charles Michael Herndon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3760 Piper St, Anchorage, AK, 97208-4105
Phone Number
907-212-6970
Fax Number
907-212-6971
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007300 05 AK
institution
Provider Business Practice Location Address Details
Address
3760 Piper St
City
Anchorage
State
Alaska
Zip
99508-4683
Phone Number
907-212-6970
Fax Number
907-212-6971
person
Provider Business Mailing Address Details
Address
3760 Piper St
City
Anchorage
State
Alaska
Zip
99508-4683
Phone Number
907-212-6970
Fax Number
907-212-6971
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
2370 (Alaska)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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