OrganizationActive
Center for Practical Medicine Inc
NPI 1053716902 · Physician Assistant · Soldotna, AK
Provider details
- NPI number
- 1053716902
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Teresa Martin, Owner/Provider(907) 953-7949
- License
- 1103 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
102 E Redoubt Ave
Soldotna, AK 99669-8012
Phone: (907) 953-7949
Approximate (ZIP-level) locationGet directions
Mailing address
102 E Redoubt Ave
Soldotna, AK 99669-8012
Registry dates
- Enumerated
- 2014-11-04
- Last updated
- 2014-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.