NPI 1356621643

Stacey Pault, PAC

Practitioner Medical Physician Assistant Soldotna, AK

Practice location

Address: 230 E Marydale Ave, Soldotna, AK 99669-7648
Phone: (907) 262-3119
Fax: (907) 262-9290

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 127937 (AK)

Other Physician Assistant providers in Alaska →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-3281 (CO)

Registry record

NPI: 1356621643
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2011
Record last updated: 26 Mar 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.