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Individual

BENNETT ROBERT STADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
673 MDG 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-1571
Mailing address
5955 ZEAMER AVE, 673 MDG / JB ELMENDORF-RICHARDSON USAF, ANCHORAGE, AK 99506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/14/2018
Last updated
02/25/2025
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