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Individual

BRENTON A STOCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3650 PIPER STREET, STE A, ANCHORAGE, AK 99508
(907) 222-4624
(907) 222-4651
Mailing address
3650 PIPER STREET, STE A, ANCHORAGE, AK 99508
(907) 222-4624
(907) 222-4651

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6036
GA
363AS0400X
Surgical Physician Assistant
Primary
120081
AK

Other

Enumeration date
01/13/2011
Last updated
04/20/2017
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