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Jacob Michael McNamara, PA-C

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

NPI number1730807603
StatusActive
Last updated in NPPESAug 10, 2023

Details

NPI
1730807603
Entity type
Individual (NPI-1)
Name
Jacob Michael McNamara
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2022
Certification date
Aug 10, 2023
Last updated
Aug 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3980 Lakeridge Ct
Anchorage, AK 99502-5199

Phone 907-360-1950

Mailing address

3980 Lakeridge Ct
Anchorage, AK 99502-5199

Phone 907-360-1950

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