Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ALEXANDER MORISETTE, PA-C
Active Sole ProprietorPhysician Assistant · FT. WAINWRIGHT, AK
Registration Details
- NPI Number
- 1174992036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2015 (10.592340580726 yrs)
- Last Updated
- Sep 22, 2015
- License
-
1127047 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1060 GAFFNEY RD. #7440USA MEDDAC-AK / ATTN: MCUC-MMD-QM (CREDENTIALS)FT. WAINWRIGHT, AK, 997037440Browse AK providers · Browse ZIP 99703
- Phone
- 9073615603
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FT. WAINWRIGHT, AK
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER DANIEL BLAKE | PA-C | 1104532795 |
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.