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11823 Old Glenn Hwy Suite 110 Eagle River AK 99577-7734 | |
| (907) 622-4673 | |
| (907) 622-4674 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 11823 Old Glenn Hwy, Eagle River, Alaska |
| Authorized Official Name and Position | Jessica J Spayd (REGISTERED AGENT) |
| Authorized Official Contact | 9076224673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11823 Old Glenn Hwy Suite 110 Eagle River AK 99577-7734 Ph: (907) 622-4673 | 11823 Old Glenn Hwy Suite 110 Eagle River AK 99577-7734 Ph: (907) 622-4673 |
| NPI Number | 1255465720 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255465720 | NPI | - | NPPES |
| MD42453 | Medicaid | AK | |
| NP9295 | Medicaid | AK | |
| 1386602019 | Other | ANP SPAYD NPI | |
| 1326187055 | Other | DR. HEROLD'S NPI |
Heart Of Eagle River Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11432 Business Blvd, Suite 4, Eagle River, AK 99577 Phone: 907-694-1300 Fax: 907-694-1315 | |
Harmony Holistic Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11723 Old Glenn Hwy Ste 213, Eagle River, AK 99577 Phone: 907-694-4445 | |
Anchorage Housecall Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1444 S Creek Rd, Eagle River, AK 99577 Phone: 907-622-4663 Fax: 907-622-4643 | |
True North Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11431 Buisness Blvd, Eagle River, AK 99577 Phone: 907-696-8783 Fax: 907-696-8738 | |