Frederick Samuel Greene PAC

NPI 1639241110 - Physician Assistant - 363A00000X

NPI Details
NPI 1639241110
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 POLIVENIA TPKE
SAINT PAUL ISLAND AK, 99660, US
Phone (907) 546-8300
Fax
Business Location
PO BOX 148
ST PAUL AK, 99660-0148, US
Phone (907) 546-8300
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Alaska
License Number AK212
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According to our database, Frederick Samuel Greene PAC NPI is 1639241110, taxonomy code is 363A00000X and license number is AK212, license state is located at Alaska. Frederick Samuel Greene PAC physically located at 1000 Polivenia Tpke, Saint Paul Island AK, 99660. NPI Number Frederick Samuel Greene PAC has the Individual type.

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1639241110 NPI number is provided on an as is basis without warranty of any kind. 1639241110 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Samuel Greene PAC are for informational purposes only.