Individual
JODI L DANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5955 ZEAMER AVE, 673 MED GROUP/SGCUB, ELMENDORF AFB, AK 99506-3702
(907) 580-1571
(907) 580-1575
Mailing address
5955 ZEAMER AVE, 673 MED GROUP/SGCUB, ELMENDORF AFB, AK 99506-3702
(907) 580-1571
(907) 580-1575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1076358
—
Other
Enumeration date
02/12/2007
Last updated
12/10/2013
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