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Eric F Severson, PA-C

Pain Medicine, Interventional Pain Medicine in Wasilla, AK. Individual provider (NPI-1).

NPI number1790776599
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1790776599
Entity type
Individual (NPI-1)
Name
Eric F Severson
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2005
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine115763AKYes

Practice location

3066 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7254

Phone 907-357-7710 · Fax 907-357-7720

Mailing address

3066 E Meridian Park Loop
Ste 3
Wasilla, AK 99654-7254

Phone 907-357-7710 · Fax 907-357-7720

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Other Interventional Pain Medicine Physician providers in Wasilla, AK

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