Individual
MELODYE LYNN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
MILE 817 GLENN HIGHWAY, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005055
NY
363A00000X
Physician Assistant
488
AK
363A00000X
Physician Assistant
Primary
MA055921
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020408
—
AK
01
—
488
LICENSE
AK
Enumeration date
11/17/2006
Last updated
03/07/2023
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