Individual
BRENTON HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
Mailing address
PO BOX 2715, PALMER, AK 99645-2715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238164
AK
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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