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

FREDERICK SAMUEL GREENE, PAC

Active

FREDERICK SAMUEL GREENE, PAC is a Physician Assistant healthcare provider located in SAINT PAUL ISLAND, Alaska. NPI 1639241110 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAINT PAUL ISLAND, AK

Registration Details

NPI Number
1639241110
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2006 (19.716664021639 yrs)
Last Updated
Jul 15, 2014
License
AK212 (AK)

Practice Information

Address
1000 POLIVENIA TPKE
SAINT PAUL ISLAND, AK, 99660
Browse AK providers · Browse ZIP 99660
Phone
9075468300
Primary Specialty
Physician Assistant
363A00000X
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.