Individual provider · Type 1 NPI
Maryellen Gordian, MD
General Practice Physician · Fort Richardson, AK
NPI number
1194704619
Active
Practice location
Bldg 60702
Fort Richardson, AK 99505
Mailing address
PO Box 241769
Anchorage, AK 99524-1769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 2758 (AK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1194704619
Maryellen Gordian, MD's National Provider Identifier is 1194704619, issued on Jan 12, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Richardson, AK. The record was last updated on Jul 13, 2026.