IndividualActive
Edwin Raby
NPI 1972576148 · Medical Physician Assistant · Ft Wainwright, AK
Provider details
- NPI number
- 1972576148
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- License
- 0064 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5001
Phone: (907) 353-5418
Fax: (907) 353-4845
Approximate (ZIP-level) locationGet directions
Mailing address
1060 Gaffney Rd
Ft Wainwright, AK 99703-5001
Registry dates
- Enumerated
- 2006-02-08
- 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.