Individual
MR. WILLIAM E NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
247 N FIREWEED ST, SUITE A, SOLDOTNA, AK 99669-7540
(907) 262-8597
(907) 262-6516
Mailing address
247 N FIREWEED ST, SUITE A, SOLDOTNA, AK 99669-7540
(907) 262-8597
(907) 262-6516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
147
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147
PHYSICIAN ASSIST LICENSE
AK
05
—
MDA0269
—
AK
01
—
P00806322
RAILROAD MEDICARE
AK
Enumeration date
10/18/2006
Last updated
03/07/2023
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