Individual
ANGELA EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1640 COWLES ST, FAIRBANKS, AK 99701-5908
(907) 452-4768
Mailing address
1640 COWLES ST, FAIRBANKS, AK 99701-5908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
198515
AK
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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