Ravencrest Medical LLC

NPI #1033958491 in Soldotna, Alaska

Provider Information

NPI Number: 1033958491
Entity Type: Organization
Organization Name: Ravencrest Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2024
Last Updated: May 23, 2024

Practice Location

Address: 35670 KENAI SPUR HWY STE 102
City: Soldotna
State: Alaska
ZIP Code: 99669-7649
Phone: (907) 921-2221

Authorized Official

Name: MRS. DANNA MAVIS CONSTANCE MOISII, PA-C
Title: OWNER/PHYSICIAN ASSISTANT
Phone: (907) 921-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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