Medical Network of Alaska, LLC

NPI #1497478598 in Wasilla, Alaska

Provider Information

NPI Number: 1497478598
Entity Type: Organization
Organization Name: Medical Network of Alaska, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL NETWORK OF ALASKA, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Sep 22, 2022
Last Updated: Jan 30, 2024

Practice Location

Address: 3331 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-7294
Phone: (907) 864-4625

Authorized Official

Name: JACQUELYN RENEE BLOMKER
Title: DIRECTOR OF REVENUE CYCLE
Phone: (907) 864-4625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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