Center for Practical Medicine INC

NPI #1053716902 in Soldotna, Alaska

Provider Information

NPI Number: 1053716902
Entity Type: Organization
Organization Name: Center for Practical Medicine INC
Primary Specialty: Physician Assistant
Enumeration Date: Nov 4, 2014
Last Updated: Nov 4, 2014

Practice Location

Address: 102 E REDOUBT AVE
City: Soldotna
State: Alaska
ZIP Code: 99669-8012
Phone: (907) 953-7949

Authorized Official

Name: TERESA DEE MARTIN, PA-C
Title: OWNER/PROVIDER
Phone: (907) 953-7949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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