Gray Shaneberger PA-C

NPI 1346576857 - Physician Assistant - 363A00000X

NPI Details
NPI 1346576857
Gender Male
Enumeration Date 10/19/2009
Last Updated 01/12/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4315 DIPLOMACY DR
ANCHORAGE AK, 99508-5926, US
Phone (907) 729-1729
Fax
Business Location
4315 DIPLOMACY DR
ANCHORAGE AK, 99508-5926, US
Phone (907) 729-1729
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Alaska
License Number 1015
Remove 1346576857 NPI Number
 

According to our database, Gray Shaneberger PA-C NPI is 1346576857, taxonomy code is 363A00000X and license number is 1015, license state is located at Alaska. Gray Shaneberger PA-C physically located at 4315 Diplomacy Dr, Anchorage AK, 99508-5926. NPI Number Gray Shaneberger PA-C has the Individual type.

Sponsored links

1346576857 NPI number is provided on an as is basis without warranty of any kind. 1346576857 is maintained by the National Plan & Provider Enumeration System. The contents of Gray Shaneberger PA-C are for informational purposes only.