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4050 Lake Otis Pkwy Suite 205 Anchorage AK 99508-5223 | |
(800) 769-0045 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner - Women's Health |
Location | 4050 Lake Otis Pkwy, Anchorage, Alaska |
Authorized Official Name and Position | Mary Wendt (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 2063286826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2001 E Madison St Seattle WA 98122-2959 Ph: (800) 769-0045 | 4050 Lake Otis Pkwy Suite 205 Anchorage AK 99508-5223 Ph: (800) 769-0045 |
NPI Number | 1962804518 |
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Provider Enumeration Date | 09/25/2014 |
Last Update Date | 09/25/2014 |
Identifier | Type | State | Issuer |
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1962804518 | NPI | - | NPPES |
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