EVERETT L CARROLL

TANANA, AK
NPI1316989981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AK  1122)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TN  1287)
Enumeration Date2006-06-11
Last Update Date2013-07-31
Business Address
-- EVERETT L CARROLL APA-C
101 FIRST AVE TANANA HEALTH CLINIC
TANANA, AK 99777-0150
Phone number: 907-366-1016
Mailing Address
-- EVERETT L CARROLL APA-C
PO BOX 77150 TANANA HEALTH CLINIC
TANANA, AK 99777-0150
Phone number: 907-366-1016
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