Provider Demographics
NPI:1447356936
Name:POKORSKI, ALAN J (PA)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:POKORSKI
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Gender:M
Credentials:PA
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Mailing Address - Street 1:201 RIDGE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-4643
Mailing Address - Country:US
Mailing Address - Phone:712-322-5899
Mailing Address - Fax:712-322-5730
Practice Address - Street 1:201 RIDGE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-4643
Practice Address - Country:US
Practice Address - Phone:712-322-5899
Practice Address - Fax:712-322-5730
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA1749363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical