Meadow Creek Healthcare LLC
NPI #1376835355 in Eagle River, Alaska
Provider Information
- NPI Number
- 1376835355
- Entity Type
- Organization
- Organization Name
- Meadow Creek Healthcare LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- May 9, 2011
- Last Updated
- May 9, 2011
Practice Location
- Address
- 16839 PARK PLACE ST
- Address 2
- SAME
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7819
- Phone
- (907) 694-3303
Authorized Official
- Name
- THOMAS A FENGER, PH.D, P.A.
- Title
- OWNER
- Phone
- (907) 694-3303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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