Maniilaq Association
NPI #1447906011 in Shungnak, Alaska
Provider Information
- NPI Number
- 1447906011
- Entity Type
- Organization
- Organization Name
- Maniilaq Association
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MANIILAQ ASSOCIATION
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 23, 2022
- Last Updated
- Mar 15, 2022
Practice Location
Authorized Official
- Name
- GUS NELSON
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (907) 442-3321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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