| Ravencrest Medical Llc | |
|
35670 Kenai Spur Hwy Ste 102 Soldotna AK 99669-7649 | |
| (907) 921-2221 | |
| Not Available |
| Full Name | Ravencrest Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 35670 Kenai Spur Hwy Ste 102, Soldotna, Alaska |
| Authorized Official Name and Position | Danna Mavis Constance Moisii (PHYSICIAN ASSISTANT/ OWNER) |
| Authorized Official Contact | 9079212221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravencrest Medical Llc 35670 Kenai Spur Hwy Ste 102 Soldotna AK 99669-7649 Ph: (907) 921-2221 | Ravencrest Medical Llc 35670 Kenai Spur Hwy Ste 102 Soldotna AK 99669-7649 Ph: (907) 921-2221 |
| NPI Number | 1568230456 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568230456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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