NPI 1114943529

Larry B Depute, PAC

Practitioner Medical Physician Assistant Juneau, AK

Practice location

Address: 10301 Glacier Hwy, Juneau, AK 99801-8561
Phone: (907) 789-2910
Fax: (907) 789-5545

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3 (AK)

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1114943529
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2006
Record last updated: 8 Jul 2007

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.