Provider Demographics
NPI:1073502043
Name:GALBREATH, DONNA ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ROSE
Last Name:GALBREATH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4201 TUDOR CENTRE DR
Mailing Address - Street 2:# 320
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5904
Mailing Address - Country:US
Mailing Address - Phone:907-729-8624
Mailing Address - Fax:907-729-8607
Practice Address - Street 1:4320 DIPLOMACY DR
Practice Address - Street 2:SUITE 2630
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5925
Practice Address - Country:US
Practice Address - Phone:907-729-8624
Practice Address - Fax:907-729-8607
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2012-12-05
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Provider Licenses
StateLicense IDTaxonomies
AK2756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK678664Medicaid
AKF06425Medicare UPIN