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431 W 7th Ave Ste 204 Anchorage AK 99501-3500 | |
| (907) 250-2511 | |
| (888) 908-9442 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 431 W 7th Ave Ste 204, Anchorage, Alaska |
| Authorized Official Name and Position | Jesika Harrell (MEMBER) |
| Authorized Official Contact | 9047168955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
431 W 7th Ave Ste 204 Anchorage AK 99501-3500 Ph: (907) 250-2511 | 431 W 7th Ave Ste 204 Anchorage AK 99501-3500 Ph: (907) 250-2511 |
| NPI Number | 1790278356 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790278356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PADA1252 (Alaska) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | PADA1252 (Alaska) | Primary |
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