IndividualActive
Brian Demio, PHYSICIAN ASSISTANT
NPI 1902883523 · Medical Physician Assistant · Kodiak, AK
Provider details
- NPI number
- 1902883523
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Albatross Ave
Commanding Officer
Kodiak, AK 99615-6806
Phone: (907) 487-5757
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 195002
Kodiak, AK 99619-5002
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.