Basic Information
| Provider Information | |||||||||
| NPI: | 1225062920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARRITY | ||||||||
| FirstName: | ALYCE | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 160 | ||||||||
| Address2: | |||||||||
| City: | CORDOVA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995740160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074248000 | ||||||||
| FaxNumber: | 9074248398 | ||||||||
| Practice Location | |||||||||
| Address1: | 602 CHASE AVE | ||||||||
| Address2: | |||||||||
| City: | CORDOVA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995740160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074248000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 08/06/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 5228 | AK | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.