Arctic Physical Medicine Wasilla
NPI #1790184646 in Wasilla, Alaska
Provider Information
- NPI Number
- 1790184646
- Entity Type
- Organization
- Organization Name
- Arctic Physical Medicine Wasilla
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 16, 2014
- Last Updated
- Aug 16, 2014
Practice Location
Authorized Official
- Name
- KYLE T BERGQUIST
- Title
- OWNER
- Phone
- (206) 713-4721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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