Provider Demographics
NPI:1871568295
Name:FINCH, PAUL WOOD JR (PA-C)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:WOOD
Last Name:FINCH
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 2ND ST STE 201B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3466
Mailing Address - Country:US
Mailing Address - Phone:907-374-3869
Mailing Address - Fax:907-374-3870
Practice Address - Street 1:626 2ND ST STE 201B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3466
Practice Address - Country:US
Practice Address - Phone:907-374-3869
Practice Address - Fax:907-374-3870
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK185363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKS26922Medicare UPIN
AKMF2317318OtherDEA NUMBER