Individual
DAVID A. THEURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
170547
AK
363AM0700X
Medical Physician Assistant
21835
CA
Other
Enumeration date
10/19/2011
Last updated
11/29/2023
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