Most Relevant Information
Provider Data
| NPI Number: | 1003318585 |
| Provider Name: | DANNA MAVIS CONSTANCE MOISII PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 6949 |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
35670 KENAI SPUR HWY STE 102
SOLDOTNA
AK
996697649
Practice Location Phone/Fax
| Phone: | 9079212221 |
| Fax: | 9079212201 |
Provider Mailing Location
34603 SHARKY AVE
SOLDOTNA
AK
996698871
Provider Mailing Phone/Fax
| Phone: | 9079212221 |
| Fax: | 9079212201 |