Individual provider · Type 1 NPI

Shannon Lee Ruth Dieffenderfer

Physician Assistant · Anchorage, AK

NPI number 1861048530 Active

Practice location

4100 Lake Otis Pkwy Ste 108
Anchorage, AK 99508-5230

Call (907) 563-3145 Map

Fax (907) 561-3967

Other practice locations

  • 187 Glenn Hwy, Glennallen, AK 99588-0005 · (907) 822-5686

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10117 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X172156 (AK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

22 other providers at this address

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About NPI 1861048530

Shannon Lee Ruth Dieffenderfer's National Provider Identifier is 1861048530, issued on Aug 17, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Anchorage, AK. The record was last updated on Jun 6, 2022.