Individual
MR. JAMES ROBERT ANDRULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3911
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3911
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
160
AK
Other
Enumeration date
11/08/2005
Last updated
12/20/2007
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