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Keith Dean McCormick, PA

Physician Assistant in Anchorage, AK. Individual provider (NPI-1).

NPI number1245958024
StatusActive
Last updated in NPPESJul 1, 2025

Details

NPI
1245958024
Entity type
Individual (NPI-1)
Name
Keith Dean McCormick
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 18, 2022
Certification date
Jul 1, 2025
Last updated
Jul 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant214956AKYes

Practice location

3201 C St Ste 606
Anchorage, AK 99503-3971

Phone 907-441-7781

Mailing address

3201 C St Ste 606
Anchorage, AK 99503-3971

Phone 907-441-7781

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