Provider Demographics
NPI:1275592230
Name:FRAMPTON, DUANE A (PA)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:A
Last Name:FRAMPTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 OLD RICHARDSON HWY
Mailing Address - Street 2:STE # 200
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-7813
Mailing Address - Country:US
Mailing Address - Phone:907-451-6561
Mailing Address - Fax:907-451-4847
Practice Address - Street 1:751 OLD RICHARDSON HWY
Practice Address - Street 2:STE # 200
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-7813
Practice Address - Country:US
Practice Address - Phone:907-451-6561
Practice Address - Fax:907-451-4847
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002062L363A00000X
AK2086363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACC9269OtherRR MEDICARE GROUP
PAGU039978OtherMEDICARE GROUP
PA970014966OtherRR MEDICARE PIN
S08949Medicare UPIN
PACC9269OtherRR MEDICARE GROUP