Individual
SHARON L HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MILE 69.1 PARKS HIGHWAY, WILLOW, AK 99688
(907) 495-4362
(907) 495-4363
Mailing address
PO BOX 520558, BIG LAKE, AK 99652-0558
(907) 892-8945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AA169
AK
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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