Individual
PAMELA M HAUGHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 646-8500
Mailing address
3841 PIPER ST STE T4-020, ANCHORAGE, AK 99508-4673
(907) 646-8500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
120423
AK
363AS0400X
Surgical Physician Assistant
085-004350
IL
Other
Enumeration date
07/13/2012
Last updated
08/13/2019
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