Full Name | |
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Speciality | Community/behavioral Health |
Location | 10 Dnr Rd, Mcgrath, Alaska |
Authorized Official Name and Position | Jona Tetzloff (MANAGER OF REVENUE CYCLE) |
Authorized Official Contact | 9077295083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7033 E Tudor Rd Anchorage AK 99507-1262 Ph: (907) 729-6580 | 10 Dnr Rd Mcgrath AK 99627 Ph: (907) 729-4987 |
NPI Number | 1033712278 |
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Provider Enumeration Date | 11/19/2020 |
Last Update Date | 11/20/2023 |
Certification Date | 11/20/2023 |
Identifier | Type | State | Issuer |
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1033712278 | NPI | - | NPPES |