Individual
MR. BRIAN MICHAEL HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1060 GAFFNEY RD STOP 7440, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5603
(907) 361-4847
Mailing address
1060 GAFFNEY RD STOP 7440, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5603
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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