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Individual

AVERY LEVONUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
11421 OLD GLENN HWY, EAGLE RIVER, AK 99577-7783
(907) 622-2500
Mailing address
11421 OLD GLENN HWY, EAGLE RIVER, AK 99577-7783
(907) 622-2500

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
202644
AK

Other

Enumeration date
05/30/2024
Last updated
05/30/2024
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