| Atlas Medical Aco Llc | |
|
3831 E Blue Lupine Dr Ste C Wasilla AK 99654-8461 | |
| (907) 521-2368 | |
| Not Available |
| Full Name | Atlas Medical Aco Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3831 E Blue Lupine Dr Ste C, Wasilla, Alaska |
| Authorized Official Name and Position | Gregory Chad Mangum (OWNER) |
| Authorized Official Contact | 4355145646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Medical Aco Llc Po Box 4682 Logan UT 84323-4682 Ph: () - | Atlas Medical Aco Llc 3831 E Blue Lupine Dr Ste C Wasilla AK 99654-8461 Ph: (907) 521-2368 |
| NPI Number | 1629807086 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629807086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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