Individual
SUSAN A. REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 HOSPITAL PL STE 104, SOLDOTNA, AK 99669-7559
(907) 714-5770
(907) 714-3111
Mailing address
PO BOX 2509, SOLDOTRIA, AK 99669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002414
IL
363AS0400X
Surgical Physician Assistant
085-002414
IL
363AS0400X
Surgical Physician Assistant
Primary
118995
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01187198
RR MEDICARE
IL
Enumeration date
04/14/2006
Last updated
10/14/2022
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