Whalio Doctors

NPI 1487778304

Andrew Richard Jaconette, MD

Practitioner Interventional Pain Medicine Physician Wasilla, AK

Practice location

Address
851 E Westpoint Dr Suite 203, Wasilla, AK 99654-7191
Phone
(907) 373-7934
Fax
(907) 677-6999
Mailing address
PO Box 210850, Anchorage, AK 99521-0850

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 5328 (AK)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 5328 (AK)

Registry record

NPI
1487778304
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Mar 2007
Record last updated
20 Mar 2017

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.