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Individual

PAUL ALLEN SCHRANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3261 S BIG LAKE RD, BIG LAKE, AK 99623-9663
(073) 762-4119
(907) 352-3301
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2384
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1219
PROFESSIONAL LICENSE
AK
05
1626797
AK
Enumeration date
12/30/2014
Last updated
08/22/2023
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