Individual
STEPHANIE HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701
(907) 451-6682
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2235
AK
Other
Enumeration date
07/13/2009
Last updated
12/03/2012
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