Heather Koponen, PA-C

NPI #1023008042 in Fairbanks, Alaska

Provider Information

NPI Number
1023008042
Entity Type
Individual
Name
Heather Koponen, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 21, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1408 19TH AVE
State
Alaska
ZIP Code
99701-5903
Phone
(907) 451-6682

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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