Individual
JACOB MICHAEL MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3980 LAKERIDGE CT, ANCHORAGE, AK 99502-5199
(907) 360-1950
Mailing address
3980 LAKERIDGE CT, ANCHORAGE, AK 99502-5199
(907) 360-1950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2022
Last updated
08/10/2023
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