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

ERIC F SEVERSON, PA-C

Active

ERIC F SEVERSON, PA-C is a Interventional Vascular Surgery healthcare provider located in WASILLA, Alaska. NPI 1790776599 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · WASILLA, AK

Registration Details

NPI Number
1790776599
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2005 (20.797378218606 yrs)
Last Updated
Mar 28, 2018
License
115763 (AK)

Practice Information

Address
3066 E MERIDIAN PARK LOOP STE 207
WASILLA, AK, 996547254
Browse AK providers · Browse ZIP 99654
Phone
9073577710
Fax
9073577720
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in WASILLA, AK

Name Credential NPI
JOHN THOMAS GRISSOM II M.D. 1598789513
ANDREW RICHARD JACONETTE M.D. 1487778304
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.