Capstone Family Medicine LLC

NPI #1487040309 in Wasilla, Alaska

Provider Information

NPI Number
1487040309
Entity Type
Organization
Organization Name
Capstone Family Medicine LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CAPSTONE FAMILY MEDICINE LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 7, 2015
Last Updated
Apr 7, 2015

Practice Location

Address
3122 E MERIDIAN PARK LOOP
State
Alaska
ZIP Code
99654-7294
Phone
(907) 357-9590

Authorized Official

Name
WADE ERICKSON, MD
Title
MD
Phone
(907) 357-9590

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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