Whalio Doctors

NPI 1033226998

Jasen Russell Thompson, PAC

Practitioner Physician Assistant Wasilla, AK

Practice location

Address
1001 S Knik Goose Bay Rd Pcc West, Wasilla, AK 99654-8083
Phone
(907) 631-7851
Fax
(907) 631-7612
Mailing address
7033 E Tudor Rd, Anchorage, AK 99507-1262

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PADA620 (AK)

Registry record

NPI
1033226998
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Aug 2006
Record last updated
22 Jan 2025

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.