Healthcare Provider Details

I. General information

NPI: 1134439896
Provider Name (Legal Business Name): GAIL ANN COMBS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 DEBARR RD STE 240
ANCHORAGE AK
99508-2959
US

IV. Provider business mailing address

2925 DEBARR RD STE 240
ANCHORAGE AK
99508-2959
US

V. Phone/Fax

Practice location:
  • Phone: 907-339-4650
  • Fax: 907-339-4694
Mailing address:
  • Phone: 907-339-4650
  • Fax: 907-339-4694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9105380
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPADA1245
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: