Individual
FREDERICK SAMUEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1000 POLIVENIA TPKE, SAINT PAUL ISLAND, AK 99660
(907) 546-8300
Mailing address
PO BOX 148, ST PAUL, AK 99660-0148
(907) 546-8300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AK212
AK
Other
Enumeration date
11/14/2006
Last updated
07/15/2014
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