Medical Network of Alaska, LLC

NPI #1508089046 in Wasilla, Alaska

Provider Information

NPI Number: 1508089046
Entity Type: Organization
Organization Name: Medical Network of Alaska, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CAPSTONE FAMILY MEDICINE LLC
Primary Specialty: Specialist
Enumeration Date: Apr 11, 2007
Last Updated: Nov 2, 2020

Practice Location

Address: 3122 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-7255
Phone: (907) 357-9590

Authorized Official

Name: JACQUELYN RENEE BLOMKER
Title: RCM
Phone: (907) 864-4625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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