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1104956515
EDGAR PRENTISS COLTHARP
ANCHORAGE, AK
NPI
1104956515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 729)
Enumeration Date
2007-03-06
Last Update Date
2023-03-07
Business Address
-- EDGAR PRENTISS COLTHARP PA-C
3300 ARCTIC BLVD # 101
ANCHORAGE, AK 99503-4523
Phone number: 907-561-3488
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Mailing Address
-- EDGAR PRENTISS COLTHARP PA-C
12032 COPPER MOUNTAIN DR
EAGLE RIVER, AK 99577-7304
Phone number: 907-694-1173
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