NPI 1417041526

Brian Domenic Vacca, MD

Practitioner Physical Medicine & Rehabilitation Physician Eagle River, AK

Practice location

Address: 10928 Eagle River Rd Suite 104, Eagle River, AK 99577-8078
Phone: (907) 622-1300

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 103783 (AK)

Other Physical Medicine & Rehabilitation providers in Alaska →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 51455 (MN)

Registry record

NPI: 1417041526
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 7 Jun 2016

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.