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Contact Information

MATTHEW WILLARD, PA-C
1 TOKSOOK BAY SUB-REGIONAL CLINIC
TOKSOOK BAY, AK99637
 Phone: 907-543-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW WILLARD · (Male)

NPI # 1336360304
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/01/2007
Last updated 09/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 629
  • AK Medicaid MDA0196
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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