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Individual

ERIC F SEVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3066 E MERIDIAN PARK LOOP STE 207, WASILLA, AK 99654-7254
(907) 357-7710
(907) 357-7720
Mailing address
3066 E MERIDIAN PARK LOOP, STE 3, WASILLA, AK 99654-7254
(907) 357-7710
(907) 357-7720

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
115763
AK

Other

Enumeration date
10/31/2005
Last updated
03/28/2018
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