MR. DALE LEROY THORN P.A.
NPI 1831287895
Physician Assistant - Medical in Anchorage, AK
Active since October 11, 2006
About Mr. Dale Leroy Thorn P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALE LEROY THORN P.A. (NPI 1831287895) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (283) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1831287895
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DALE LEROY THORNCredential: P.A.
Location Address2800 PROVIDENCE DRAnchorage, AK 99508-4623
Mailing Address2800 Providence DrAnchorage, AK 99508-4623 · (907) 269-7167 · Fax (907) 269-7251
Phone(907) 269-7167
Fax(907) 269-7251
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831287895 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 283
2800 PROVIDENCE DR, Anchorage, AK 99508
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2800 PROVIDENCE DR
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Psychiatry & Neurology (Psychiatry)
2800 PROVIDENCE DR
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831287895, enumerated as an "individual" on October 11, 2006.
The provider is located at 2800 PROVIDENCE DR ANCHORAGE, AK 99508 and the phone number is (907) 269-7167.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.