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
146M00000X
Intermediate Emergency Medical Technician
2500321
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
202644
AK
Other
Enumeration date
05/30/2024
Last updated
06/11/2026
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