(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003557083
Provider Name: DEREK MATTHEW CHALIFOUR
Entity Type: Individual
Taxonomy Code: 225700000X
Specialty: Massage Therapist
License Number:
Most Important Dates
Enumeration Date: 04/05/2022
Last Updated: 08/25/2022
Provider Practice Location
1113 W FIREWEED LN STE 100
ANCHORAGE
AK
995031753
Practice Location Phone/Fax
Phone: 9072722700
Fax:
Provider Mailing Location
3302 WOODLAND PARK DR
ANCHORAGE
AK
995172109
Provider Mailing Phone/Fax
Phone: 9072404381
Fax: