Individual
ANDREW KELLY MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3190 E MERIDIAN PARK LOOP STE 207, WASILLA, AK 99654-7422
(907) 373-9460
Mailing address
4100 LAKE OTIS PKWY STE 108, ANCHORAGE, AK 99508-5230
(907) 563-3145
(833) 464-5196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
156990
AK
Other
Enumeration date
09/10/2018
Last updated
12/17/2024
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