Camelot Family Health LLC

NPI #1336685908 in Wasilla, Alaska

Provider Information

NPI Number
1336685908
Entity Type
Organization
Organization Name
Camelot Family Health LLC
Primary Specialty
Family Medicine
Enumeration Date
Jan 6, 2017
Last Updated
Jan 6, 2017

Practice Location

Address
500 E SWANSON AVE
Address 2
STE 3
State
Alaska
ZIP Code
99654-7197
Phone
(907) 357-6180

Authorized Official

Name
DAVID R CHISHOLM, M.D.
Title
OWNER
Phone
(907) 357-6180

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine
Family Medicine

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