Petra Andrea Illig, M.D. Valid NPI

Individual provider · Legal Medicine (M.D./D.O.) Physician · Anchorage, AK

NPI

1255410213

Type

Individual (Type 1)

Primary specialty

Legal Medicine (M.D./D.O.) Physician (Legal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

209800000X

License number

4193 (AK)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-02

Last updated

2007-08-17