| Northwest Medical Professional Corporation | |
|
2841 Debarr Rd Suite 22 Anchorage AK 99508-2932 | |
| (907) 276-6301 | |
| (907) 264-1541 |
| Full Name | Northwest Medical Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2841 Debarr Rd, Anchorage, Alaska |
| Authorized Official Name and Position | Liz C Loutzenheiser (CLINIC MANAGER) |
| Authorized Official Contact | 9072766301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical Professional Corporation 2841 Debarr Rd Suite 22 Anchorage AK 99508-2932 Ph: (907) 276-6301 | Northwest Medical Professional Corporation 2841 Debarr Rd Suite 22 Anchorage AK 99508-2932 Ph: (907) 276-6301 |
| NPI Number | 1609848514 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 7618874884 |
|---|---|
| Medicare Enrollment ID | O20031216000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609848514 | NPI | - | NPPES |
| GR0154 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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