Odland Family Practice Clinic, LLC

NPI #1114269313 in Wasilla, Alaska

Provider Information

NPI Number
1114269313
Entity Type
Organization
Organization Name
Odland Family Practice Clinic, LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 26, 2013
Last Updated
Mar 26, 2013

Practice Location

Address
950 E BOGARD RD
Address 2
SUITE 234
State
Alaska
ZIP Code
99654-7184
Phone
(907) 355-0850

Authorized Official

Name
SHANNON PENDERGRASS, CMRS
Title
BILLING MANAGER
Phone
(907) 355-0850

Specialties & Taxonomy Codes

Specialty
Family Medicine

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