Medical Network of Alaska, LLC

NPI #1669173647 in Palmer, Alaska

Provider Information

NPI Number: 1669173647
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: Physical Therapist
Enumeration Date: Mar 15, 2023
Last Updated: Mar 15, 2023

Practice Location

Address: 1507 N DOUBLE B ST
City: Palmer
State: Alaska
ZIP Code: 99645-5917
Phone: (907) 563-3145

Authorized Official

Name: JACQUELYN RENEE BLOMKER
Title: DIRECTOR OF REVENUE CYCLE
Phone: (907) 357-9590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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