Individual
JEFFERSON WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
506 LAKE ST, KENAI, AK 99611-6937
(907) 714-4025
(844) 412-3952
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4038
(907) 262-5191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189244
AK
Other
Enumeration date
03/28/2019
Last updated
10/24/2025
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