Medical Network of Alaska, LLC

NPI #1033883285 in Wasilla, Alaska

Provider Information

NPI Number
1033883285
Entity Type
Organization
Organization Name
Medical Network of Alaska, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDICAL NETWORK OF ALASKA, LLC
Primary Specialty
Dermatology
Enumeration Date
Aug 2, 2021
Last Updated
Aug 2, 2021

Practice Location

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

Authorized Official

Name
JACQUELYN RENEE BLOMKER
Title
DIRECTOR OF REVENUE CYCLE
Phone
(907) 357-9590

Specialties & Taxonomy Codes

Specialty
Dermatology

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