Search › Alaska › 363A00000X

Shannon Dieffenderfer

NPI 1861048530 · on the registry since 2019 · sole proprietor

Practice

Address
4100 Lake Otis Pkwy Ste 108
Anchorage, AK 99508
Phone
(907) 563-3145
Fax
(907) 561-3967
Organisation at this address
Orthoalaska Llc
Orthoalaska Llc
Rhyneer Clinic Pc
Cindy M. Lee, Llc
Alaska Orthopedics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
109

Additional practice sites

  • 187 Glenn Hwy, Glennallen, AK

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
390200000X
Licence states on file
GA, AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska