Samuel Deblauw, PHYSICIAN ASSISTANT

NPI 1679970768 · on the registry since 2014

Practice

Address: 1717 W Cowles St
Fairbanks, AK 99701
Phone: (907) 451-6682
Fax: (907) 459-3811
Organisation at this address: Tanana Chiefs Confenerce
Tanana Chiefs Conference
Tanana Chiefs Conference
Tanana Chiefs Conference
Tanana Chiefs Conference
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 216

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-06-25

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