Unknown Individual – Medical Physician Assistant, NPI 1275711731
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1060 GAFFNEY RD
#7440 ATTN: MCUC-MMD-QM CREDENTIALS
FORT WAINWRIGHT, AK 997035001
Phone: (907) 361-4847
Type: Mailing
1060 Gaffney Rd
#7440 ATTN: MCUC-MMD-QM Credentials
Fort Wainwright, AK 997035001
Phone: (907) 361-4847
Type: Location
683 WAIANAE AVE
BLDG 677
SCHOFIELD BARRACKS, HI 968765004
Phone: (808) 433-8233
Fax: (808) 433-8217
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99703)
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