Individual
TIMOTHY A MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
135 W DIMOND BLVD STE 104, ANCHORAGE, AK 99515-1907
(907) 240-3376
(907) 563-7929
Mailing address
200 W 34TH AVE, ANCHORAGE, AK 99503-3969
(907) 240-3376
(907) 563-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
723
AK
363A00000X
Physician Assistant
PA10004578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172319
—
AK
Enumeration date
12/27/2005
Last updated
03/22/2022
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