Kodiak Island Medical Associates LLC

NPI #1609051986 in Kodiak, Alaska

Provider Information

NPI Number
1609051986
Entity Type
Organization
Organization Name
Kodiak Island Medical Associates LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jan 4, 2008
Last Updated
Jan 4, 2008

Practice Location

Address
1818 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615
Phone
(907) 486-6065

Authorized Official

Name
MARK E WITHROW, MD
Title
OWNER MD
Phone
(907) 486-6065

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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