JESSE TYLER-GUILL KING

FORT WAINWRIGHT, AK
NPI1144977000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2022-03-09
Last Update Date2023-03-13
Business Address
Mr. JESSE TYLER-GUILL KING PA-C
3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
Phone number: 907-353-2917
Mailing Address
Mr. JESSE TYLER-GUILL KING PA-C
3407 SANTIAGO AVE
FORT WAINWRIGHT, AK 99703
Phone number: 907-353-4383