NPI 1629067590

Roy Fukuoka

Practitioner Certified Registered Nurse Anesthetist Palmer, AK

Practice location

Address: 2500 S Woodworth Loop, Palmer, AK 99645-8984
Phone: (907) 227-0162
Mailing address: 8737 Inyo Cir, Eagle River, AK 99577-9402

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 281 (AK)

Other Nurse Anesthetist, Certified Registered providers in Alaska →

Registry record

NPI: 1629067590
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2005
Record last updated: 15 Oct 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.