Individual provider · Type 1 NPI

Marilyn Elaine Attla, PHYSICIAN ASSISTANT

Medical Physician Assistant · Fairbanks, AK

NPI number 1679563829 Active

Practice location

1717 W Cowles St, C.a.i.h.c.
Fairbanks, AK 99701-5926

Fax (907) 459-3817

Mailing address

1717 W. Cowles St.
Fairbanks, AK 99701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X320 (AK)

Medical Physician Assistant: Definition to come...

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About NPI 1679563829

Marilyn Elaine Attla, PHYSICIAN ASSISTANT's National Provider Identifier is 1679563829, issued on Oct 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 14, 2022.