Lookup NPI Numbers from the NPI Registry
NPI Profile for EAGLE RIVER PRIMARY CARE in EAGLE RIVER, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1235319450 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/05/2007 | |
| Last updated | 05/21/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EAGLE RIVER PRIMARY CARE
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EAGLE RIVER PRIMARY CARE