Individual
MR. NATHANAEL PATRICK RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 264-1318
Mailing address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
127933
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
06/30/2016
Last updated
03/29/2024
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