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Individual

ALAN RAY SHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6300
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1063
AK
363A00000X
Physician Assistant
96
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MT
Enumeration date
08/22/2006
Last updated
07/08/2013
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