Eagle River Primary Care

NPI #1235319450 in Eagle River, Alaska

Provider Information

NPI Number
1235319450
Entity Type
Organization
Organization Name
Eagle River Primary Care
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Nov 5, 2007
Last Updated
May 21, 2020

Practice Location

Address
11462 BUSINESS BLVD
State
Alaska
ZIP Code
99577-7721
Phone
(907) 694-0770

Authorized Official

Name
JENNIFER J OXFORD, PA-C
Title
REGISTERED AGENT
Phone
(907) 694-0770

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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