Medical Network of Alaska, LLC

NPI #1831763911 in Wasilla, Alaska

Provider Information

NPI Number: 1831763911
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: Internal Medicine - Endocrinology, Diabetes & Metabolism
Enumeration Date: May 13, 2021
Last Updated: Aug 2, 2021

Practice Location

Address: 3331 E MERIDIAN PARK LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-7294
Phone: (907) 357-9590

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X	Primary

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