IndividualActive
Maryellen Gordian, MD
NPI 1194704619 · General Practice Physician · Ft Richardson, AK
Provider details
- NPI number
- 1194704619
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 2758 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Bldg 60702
Ft Richardson, AK 99505
Phone: (907) 384-6017
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 241769
Anchorage, AK 99524-1769
Registry dates
- Enumerated
- 2006-01-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.