Vacca Physiatry LLC
NPI #1528456696 in Eagle River, Alaska
Provider Information
- NPI Number
- 1528456696
- Entity Type
- Organization
- Organization Name
- Vacca Physiatry LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Dec 24, 2014
- Last Updated
- Jun 7, 2016
Practice Location
- Address
- 10928 EAGLE RIVER RD
- Address 2
- SUITE 104
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-8078
- Phone
- (907) 622-1300
Authorized Official
- Name
- BRIAN D VACCA, MD
- Title
- OWNER/SOLE PROVIDER
- Phone
- (907) 622-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
| Clinic/Center - Medical Specialty — Medical Specialty |
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