Whalio Doctors

NPI 1053577544

Glen a Jones, PAC

Practitioner Physician Assistant Wasilla, AK

Practice location

Address
1700 E Parks Hwy Suite 200, Wasilla, AK 99654-7352
Phone
(907) 373-6055
Fax
(907) 373-6077

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 303 (AK)

Registry record

NPI
1053577544
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Aug 2008
Record last updated
23 Jun 2009

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.