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Individual

SHADIA SARAH TOLLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2741 DEBARR RD STE 307, ANCHORAGE, AK 99508-2972
(907) 777-1850
(855) 468-1357
Mailing address
2741 DEBARR RD STE 307, ANCHORAGE, AK 99508-2972
(907) 777-1850
(855) 468-1357

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
126912
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144677402
AK
Enumeration date
05/17/2016
Last updated
01/02/2025
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