Provider Demographics
NPI:1225225535
Name:LUTHER, DOUGLAS BYRON (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:BYRON
Last Name:LUTHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6243 TYRE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-2300
Mailing Address - Country:US
Mailing Address - Phone:907-250-1391
Mailing Address - Fax:907-222-1131
Practice Address - Street 1:6243 TYRE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-2300
Practice Address - Country:US
Practice Address - Phone:907-250-1391
Practice Address - Fax:907-222-1131
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor