Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN DOMENIC VACCA, MD
Active Sole ProprietorDR. 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 RDSUITE 104EAGLE RIVER, AK, 995778078Browse AK providers · Browse ZIP 99577
- Phone
- 9076221300
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
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.