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Individual

MICAH ENDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3650 PIPER ST STE A, ANCHORAGE, AK 99508-4651
(907) 222-4624
(907) 222-4651
Mailing address
2531 LAIRD CIR, ANCHORAGE, AK 99516-2693
(907) 830-0205

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
141374
AK

Other

Enumeration date
09/02/2017
Last updated
03/31/2025
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