Penny K Puhak, ETC

NPI #1689711715 in Kodiak, Alaska

Provider Information

NPI Number: 1689711715
Entity Type: Individual
Name: Penny K Puhak, ETC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: ETC
Enumeration Date: Jan 30, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 104 CENTER AVE STE 100
City: Kodiak
State: Alaska
ZIP Code: 99615-6393
Phone: (907) 486-4183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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