Individual
JOHN W. MARUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-1545
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-1545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17943
MEDI-CAL
CA
Enumeration date
08/21/2006
Last updated
09/14/2023
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