NPI 1023789005
Derick Mitchell Hass
Practice location
- Address
- 3750 E Country Field Cir STE a, Wasilla, AK 99654-6659
- Phone
- (907) 376-7334
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1023789005
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2021
- Record last updated
- 21 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.