MR. Timothy G Harrelson JR., PA

NPI #1952391559 in Anchorage, Alaska

Provider Information

NPI Number: 1952391559
Entity Type: Individual
Name: MR. Timothy G Harrelson JR., PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 25, 2005
Last Updated: Feb 7, 2019

Practice Location

Address: 3909 ARCTIC BLVD STE 101
City: Anchorage
State: Alaska
ZIP Code: 99503
Phone: (907) 644-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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