| Arctic Physical Medicine Wasilla | |
|
1830 E Parks Hwy Ste A120 Wasilla AK 99654-7380 | |
| (206) 713-4721 | |
| Not Available |
| Full Name | Arctic Physical Medicine Wasilla |
|---|---|
| Speciality | Family Medicine |
| Location | 1830 E Parks Hwy Ste A120, Wasilla, Alaska |
| Authorized Official Name and Position | Kyle T Bergquist (OWNER) |
| Authorized Official Contact | 2067134721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Physical Medicine Wasilla 1830 E Parks Hwy Ste A120 Wasilla AK 99654-7380 Ph: () - | Arctic Physical Medicine Wasilla 1830 E Parks Hwy Ste A120 Wasilla AK 99654-7380 Ph: (206) 713-4721 |
| NPI Number | 1790184646 |
|---|---|
| Provider Enumeration Date | 08/16/2014 |
| Last Update Date | 08/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790184646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1305 (Alaska) | Primary |
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