IndividualActive
Bennett Stadler
NPI 1679056659 · Physician Assistant · Jber, AK
Provider details
- NPI number
- 1679056659
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
5955 Zeamer Ave
Anchorage, AK 99506
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.