BILLIE BERGSTROM

ANCHORAGE, AK
NPI1104983691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AK  649)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
-- BILLIE BERGSTROM PAC
4200 LAKE OTIS PARKWAY SUITE 304
ANCHORAGE, AK 99508
Phone number: 907-561-9444
Mailing Address
-- BILLIE BERGSTROM PAC
PO BOX 240444
ANCHORAGE, AK 99524
Phone number: