Provider Demographics
NPI:1588780860
Name:TROXEL, SARAH CRAIG (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CRAIG
Last Name:TROXEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 PROVIDENCE DR
Mailing Address - Street 2:SUITE 363
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4616
Mailing Address - Country:US
Mailing Address - Phone:907-562-6886
Mailing Address - Fax:907-562-1021
Practice Address - Street 1:3340 PROVIDENCE DR
Practice Address - Street 2:SUITE 363
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4616
Practice Address - Country:US
Practice Address - Phone:907-562-6886
Practice Address - Fax:907-562-1021
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAK3395174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD14401Medicaid
AK0000BLBRVMedicare ID - Type Unspecified
AKMD14401Medicaid