Individual
CAROLINE IMIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 LAKE OTIS PKWY SUITE 216, ANCHORAGE, AK 99508
(907) 563-2873
(907) 563-5852
Mailing address
4100 LAKE OTIS PKWY SUITE 216, ANCHORAGE, AK 99508
(907) 563-2873
(907) 563-5852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
200861
AK
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
02/15/2023
Last updated
09/27/2024
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