Medical Network of Alaska, LLC

NPI #1710667902 in Wasilla, Alaska

Provider Information

NPI Number: 1710667902
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: Surgery
Enumeration Date: Jul 21, 2023
Last Updated: Jul 21, 2023

Practice Location

Address: 3066 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-7254
Phone: (907) 357-2332

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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