Medical Network of Alaska, LLC

NPI #1013558360 in Wasilla, Alaska

Provider Information

NPI Number: 1013558360
Entity Type: Organization
Organization Name: Medical Network of Alaska, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 7, 2019
Last Updated: Nov 2, 2020

Practice Location

Address: 3122 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-7255
Phone: (907) 357-9590

Authorized Official

Name: JACQUELYN RENEE BLOMKER
Title: RCM
Phone: (907) 864-4625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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