Provider Demographics
NPI:1992803019
Name:CANT, BETH CHARLOTTE (MD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:CHARLOTTE
Last Name:CANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 200126
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99520-0126
Mailing Address - Country:US
Mailing Address - Phone:907-929-5888
Mailing Address - Fax:907-929-5882
Practice Address - Street 1:4001 DALE ST
Practice Address - Street 2:SUITE NUMBER 210
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5428
Practice Address - Country:US
Practice Address - Phone:907-929-5888
Practice Address - Fax:907-929-5882
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK3456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD8248Medicaid