Individual
JACOB TRUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(907) 352-2883
(907) 352-2805
Mailing address
1207 JOSEPH CT, GIBSONIA, PA 15044-8057
(412) 779-0519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
12/05/2022
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