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4001 Lake Otis Pkwy #100 Anchorage AK 99508-5211 | |
(907) 561-7757 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4001 Lake Otis Pkwy, Anchorage, Alaska |
Authorized Official Name and Position | Deborah L Maclean (OFFICE MGR) |
Authorized Official Contact | 9073417757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 E Dimond Blvd #12 Anchorage AK 99515-1908 Ph: (907) 341-7757 | 4001 Lake Otis Pkwy #100 Anchorage AK 99508-5211 Ph: (907) 561-7757 |
NPI Number | 1851573331 |
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Provider Enumeration Date | 11/27/2007 |
Last Update Date | 11/27/2007 |
Identifier | Type | State | Issuer |
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1851573331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 905735 (Alaska) | Primary |
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