Individual
GREGORY C SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6300
Mailing address
P.O. BOX 258, 700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1058
AK
363A00000X
Physician Assistant
PA702
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95005674
—
KY
Enumeration date
07/21/2006
Last updated
08/14/2012
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