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MR. GERALD EDWARD MANNING P.A.C.

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1083701858

Individual Registrant:
MR. GERALD EDWARD MANNING P.A.C.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5050 DUNBAR SUITE D WASILLA, AL 99654 US
Tel: 907-357-0820  Fax: 907-357-0821

Contact information for business:
PO BOX 876009  WASILLA, AK 99687 US
Tel: 907-357-0820  Fax: 907-357-0821

Registration Information:
NPI: 1083701858
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
AK0059

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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