NPI 1790776599

Eric F Severson, PAC

Practitioner Interventional Pain Medicine Physician Wasilla, AK

Practice location

Address: 3066 E Meridian Park Loop STE 207, Wasilla, AK 99654-7254
Phone: (907) 357-7710
Fax: (907) 357-7720
Mailing address: 3066 E Meridian Park Loop STE 3, Wasilla, AK 99654-7254

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 115763 (AK)

Other Pain Medicine providers in Alaska →

Registry record

NPI: 1790776599
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2005
Record last updated: 28 Mar 2018

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.