Individual
KATI JO TUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1275 SADLER WAY STE 105, FAIRBANKS, AK 99701-3175
(307) 267-6150
(866) 598-2420
Mailing address
1314 SHUROS DR, FAIRBANKS, AK 99709-6740
(307) 267-6150
(866) 598-2420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
135795
AK
363AM0700X
Medical Physician Assistant
PA586
WY
363AS0400X
Surgical Physician Assistant
TL586
WY
Other
Enumeration date
01/07/2014
Last updated
01/25/2024
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