South Central Family Practice Clinic PC

NPI #1003967753 in Soldotna, Alaska

Provider Information

NPI Number: 1003967753
Entity Type: Organization
Organization Name: South Central Family Practice Clinic PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 16, 2007
Last Updated: May 18, 2018

Practice Location

Address: 161 N BINKLEY ST
Address 2: SUITE 101
City: Soldotna
State: Alaska
ZIP Code: 99669
Phone: (907) 260-7784

Authorized Official

Name: DR. GLADYS J BAILON, M.D.
Title: PRESIDENT
Phone: (907) 260-7784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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