| Arctic Pain Relief Center, Llc | |
|
851 E Westpoint Dr Suite B1 Wasilla AK 99654-7191 | |
| (907) 631-4933 | |
| (907) 631-5933 |
| Full Name | Arctic Pain Relief Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 851 E Westpoint Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Kyle Bergquist (OWNER) |
| Authorized Official Contact | 2067134721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Pain Relief Center, Llc Po Box 1190 Silverdale WA 98383-1190 Ph: () - | Arctic Pain Relief Center, Llc 851 E Westpoint Dr Suite B1 Wasilla AK 99654-7191 Ph: (907) 631-4933 |
| NPI Number | 1184074189 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184074189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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