Individual
MR. JEFFREY MICHAEL STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 360-1311
Mailing address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 360-1311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2227
AK
Other
Enumeration date
04/21/2009
Last updated
10/24/2012
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