Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON S ANDERSON, PA-C
ActivePhysician Assistant · ANIAK, AK
Registration Details
- NPI Number
- 1003922790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.677110897997 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
375970-1206 (UT)1027 (AK)
Practice Information
- Address
-
269 MORGAN'S ROADANIAK, AK, 995570269Browse AK providers · Browse ZIP 99557
- Phone
- 9076754556
- Fax
- 9076754687
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.