White Skye Summit LLC

NPI #1205035573 in Wasilla, Alaska

Provider Information

NPI Number: 1205035573
Entity Type: Organization
Organization Name: White Skye Summit LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WHITE SKYE SUMMIT LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 16, 2007
Last Updated: Jun 7, 2024

Practice Location

Address: 2851 E PALMER WASILLA HWY STE 3
City: Wasilla
State: Alaska
ZIP Code: 99654-7499
Phone: (907) 357-7944

Authorized Official

Name: REBECCA SC WHITE, MD
Title: OWNER/MEMBER
Phone: (907) 357-7944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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