Individual
JONATHAN WEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
203147
AK
363AM0700X
Medical Physician Assistant
Primary
203147
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1746016
—
AK
Enumeration date
01/14/2020
Last updated
10/27/2025
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