Provider Demographics
NPI:1598879058
Name:ARMSTRONG, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 DEBARR RD #44
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2968
Mailing Address - Country:US
Mailing Address - Phone:907-277-1375
Mailing Address - Fax:907-277-1376
Practice Address - Street 1:2841 DEBARR RD STE 44
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2968
Practice Address - Country:US
Practice Address - Phone:907-277-1375
Practice Address - Fax:907-277-1376
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1019207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1019Medicaid
AKC96988Medicare UPIN
AKMD1019Medicaid