Individual
EVERETT L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APA-C
Contact information
Practice address
101 FIRST AVE, TANANA HEALTH CLINIC, TANANA, AK 99777-0150
(907) 366-1016
Mailing address
PO BOX 77150, TANANA HEALTH CLINIC, TANANA, AK 99777-0150
(907) 366-1016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1122
AK
363A00000X
Physician Assistant
1287
TN
Other
Enumeration date
06/11/2006
Last updated
07/31/2013
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