Individual
BRENT ALAN URSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
11724 SEWARD HWY, STE D, SEWARD, AK 99664-9714
(907) 224-8733
(907) 224-8734
Mailing address
11724 SEWARD HWY, STE D, SEWARD, AK 99664-9714
(907) 224-8733
(907) 224-8734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043650384
OTHER PAR & NONPAR PAYERS
AK
01
—
BCBS
043650384
AK
05
—
MD22813
—
AK
Enumeration date
12/20/2006
Last updated
03/31/2008
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