NPI 1235800749

Eugene Thomas Pryka, INDEPENDENTDUTYHS

Practitioner Independent Duty Corpsman Kodiak, AK

Practice location

Address: 500a Sentinel Island Ave, Kodiak, AK 99615-6849
Phone: (602) 570-8173

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1235800749
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2021
Record last updated: 23 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.