Individual
MRS. PATRICE COLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1 HEADQUARTERS LOOP, JOINT BASE ELMENDORF RICHARDSON, ANCHORAGE, AK 99505
(907) 384-1988
Mailing address
3910 W ISLA DR, WASILLA, AK 99623-9710
(937) 903-6451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006264RX
OH
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/03/2015
Last updated
07/19/2023
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