Most Relevant Information
Provider Data
| NPI Number: | 1003210030 |
| Provider Name: | AMANDA LOOMIS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 1187 |
Most Important Dates
| Enumeration Date: | 10/20/2014 |
| Last Updated: | 04/03/2019 |
Provider Practice Location
550 W 7TH AVE STE 1800
ANCHORAGE
AK
995013569
Practice Location Phone/Fax
| Phone: | 9072697300 |
| Fax: |
Provider Mailing Location
550 W 7TH AVE STE 1800
ANCHORAGE
AK
995013569
Provider Mailing Phone/Fax
| Phone: | 9072697300 |
| Fax: |