OrganizationActive
Eagle River Primary Care
NPI 1235319450 · Medical Physician Assistant · Eagle River, AK
Provider details
- NPI number
- 1235319450
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Oxford, Registered Agent(907) 694-0770
- License
- PA448 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11462 Business Blvd
Eagle River, AK 99577-7721
Phone: (907) 694-0770
Fax: (907) 694-1378
Approximate (ZIP-level) locationGet directions
Mailing address
11462 Business Blvd
Eagle River, AK 99577-7721
Other names (DBA / former)
- Doing business as
- Eagle River Primary Care, LLC
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2020-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.