TY R VINCENT

WASILLA, AK
NPI1578578183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  5545)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
Dr. TY R VINCENT MD
1700 BOGARD RD STE 100 BUILDING A
WASILLA, AK 99654-6563
Phone number: 907-352-6200
Mailing Address
Dr. TY R VINCENT MD
1700 BOGARD RD STE 100 BUILDING A
WASILLA, AK 99654-6563
Phone number: 907-352-6200