Family Medical Clinic

NPI #1073701421 in Soldotna, Alaska

Provider Information

NPI Number: 1073701421
Entity Type: Organization
Organization Name: Family Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Oct 11, 2007
Last Updated: Oct 29, 2012

Practice Location

Address: 206 W ROCKWELL AVE
Address 2: SUITE 100
City: Soldotna
State: Alaska
ZIP Code: 99669-7411
Phone: (907) 262-7566

Authorized Official

Name: DR. LAVERN R DAVIDHIZAR, DO
Title: PRESIDENT
Phone: (907) 262-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology	207L00000X
Family Medicine	207Q00000X	Primary

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