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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRIAN DOMENIC VACCA, MD

Active Sole Proprietor

DR. BRIAN DOMENIC VACCA, MD is a Physical Medicine & Rehabilitation healthcare provider located in EAGLE RIVER, Alaska. NPI 1417041526 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · EAGLE RIVER, AK

Registration Details

NPI Number
1417041526
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.84889459999 yrs)
Last Updated
Jun 7, 2016
Licenses
51455 (MN)
103783 (AK)
Sole Proprietor
Yes

Practice Information

Address
10928 EAGLE RIVER RD
SUITE 104
EAGLE RIVER, AK, 995778078
Browse AK providers · Browse ZIP 99577
Phone
9076221300
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in EAGLE RIVER, AK

Name Credential NPI
JOSHUA BROWN BALCH M.D. 1619267630
AVERY LEVONUK PTA 1346080892
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.