Steve T Goniotakis, PAC

NPI #1770553497 in Cordova, Alaska

Provider Information

NPI Number: 1770553497
Entity Type: Individual
Name: Steve T Goniotakis, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jan 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 110 NICHOLOFF WAY
Address 2: ILANKA HEALTH CLINIC
City: Cordova
State: Alaska
ZIP Code: 99574
Phone: (907) 424-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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