Individual
YURIY TRETYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3841 PIPER ST STE T100, ANCHORAGE, AK 99508
(907) 561-3211
Mailing address
PO BOX 200149, ANCHORAGE, AK 99520-0149
(907) 561-3211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1634285
—
AK
Enumeration date
05/14/2015
Last updated
01/29/2019
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