| Dr David Chisholm | |
|
500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 | |
| (907) 357-6180 | |
| (907) 357-6184 |
| Full Name | Dr David Chisholm |
|---|---|
| Speciality | Family Medicine |
| Location | 500 E Swanson Ave, Wasilla, Alaska |
| Authorized Official Name and Position | David R Chisholm (OWNER) |
| Authorized Official Contact | 9073576180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Chisholm 500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 Ph: (907) 357-6180 | Dr David Chisholm 500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 Ph: (907) 357-6180 |
| NPI Number | 1336685908 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336685908 | NPI | - | NPPES |
| 1009915 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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