SearchAlaska172V00000X

Sophia Petla

NPI 1326588435 · on the registry since 2017

Practice

Address
109 Wallace Street
New Stuyahok, AK 99636
Phone
(907) 693-3131
Fax
(907) 693-3293

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska