NPI 1336360304

Matthew Willard, PAC

Practitioner Physician Assistant Toksook Bay, AK

Practice location

Address: 1 Toksook Bay Sub-Regional Clinic, Toksook Bay, AK 99637
Phone: (907) 543-6300
Mailing address: PO Box 37028, Toksook Bay, AK 99637

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 629 (AK)

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1336360304
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 7 Sep 2010

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.