Atlas Medical Aco LLC

NPI #1629807086 in Wasilla, Alaska

Provider Information

NPI Number
1629807086
Entity Type
Organization
Organization Name
Atlas Medical Aco LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ATLAS MEDICAL ACO LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 1, 2024
Last Updated
Oct 17, 2024

Practice Location

Address
3831 E BLUE LUPINE DR STE C
State
Alaska
ZIP Code
99654-8461
Phone
(907) 521-2368

Authorized Official

Name
GREGORY CHAD MANGUM
Title
OWNER
Phone
(435) 514-5646

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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