Individual provider · Type 1 NPI
Gerald Edward Manning Ii, P.A.C.
Medical Physician Assistant · Wasilla, AL
NPI number
1083701858
Active
Practice location
5050 Dunbar, Suite D
Wasilla, AL 99654
Fax (907) 357-0821
Mailing address
PO Box 876009
Wasilla, AK 99687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0059 (AK) |
Medical Physician Assistant: Definition to come...
About NPI 1083701858
Gerald Edward Manning Ii, P.A.C.'s National Provider Identifier is 1083701858, issued on Oct 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wasilla, AL. The record was last updated on Jul 8, 2007.