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Mr. Jared Lee Wallace, PA-C
Physician Assistant in Kenai, Alaska
NPI 1063746667

Jared Lee Wallace is a Physician Assistant based in Kenai, AK. Jared Lee Wallace practices in Kenai, AK and has the professional credentials of PA-C. The NPI Number for Jared Lee Wallace is 1063746667 and holds a License No. (Alaska).

The current practice location address for Jared Lee Wallace is 43783 Kenai Spur Hwy, Kenai, AK and can be reached out via phone at 907-283-9116 and via fax at 907-283-9122.

Location: 43783 Kenai Spur Hwy, Kenai, AK, 99611-9708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063746667
Provider Name
Jared Lee Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
43783 Kenai Spur Hwy, Kenai, AK, 99611-9708
Phone Number
907-283-9116
Fax Number
907-283-9122
Provider Enumeration Date
09/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020379 05 AK
institution
Provider Business Practice Location Address Details
Address
43783 Kenai Spur Hwy
City
Kenai
State
Alaska
Zip
99611
Phone Number
907-283-9116
Fax Number
907-283-9122
person
Provider Business Mailing Address Details
Address
43783 Kenai Spur Hwy
City
Kenai
State
Alaska
Zip
99611
Phone Number
907-283-9116
Fax Number
907-283-9122
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
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Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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