Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgar Prentiss Coltharp Jr., PA-C

Individual provider Physician Assistant · NPI 1104956515

Edgar Prentiss Coltharp Jr., PA-C is a Physician Assistant in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3300 Arctic Blvd # 101
Anchorage, AK 99503-4523
Phone: (907) 561-3488
Fax: (907) 562-3488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 729 (AK)

Record details

NPI number1104956515
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 7, 2023

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