Individual
NATHAN NEVES GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
950 E BOGARD RD STE 228, WASILLA, AK 99654-7185
(907) 376-8938
Mailing address
PO BOX 871830, WASILLA, AK 99687-1830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125376
AK
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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