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Search › Alaska › 363A00000X

David Theuret, PHYSICIAN ASSISTANT

NPI 1740565936 · on the registry since 2011

Practice

Address
1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone
(907) 631-7800
Organisation at this address
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Additional practice sites

  • 900 Main St, Brawley, CA
  • 450 E Birch St, Calexico, CA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CA, AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-29

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