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LEVI JOSIAH ZELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 SPRUCE STREET, FORT YUKON, AK 99740
(907) 662-2460
Mailing address
PO BOX 309, FORT YUKON, AK 99740-0309
(907) 662-2460

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054734
PA
363AM0700X
Medical Physician Assistant
Primary
103960
AK

Other

Enumeration date
03/24/2011
Last updated
04/07/2021
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