Glacier Family Medicine Clinic LLC

NPI #1942323779 in Seward, Alaska

Provider Information

NPI Number: 1942323779
Entity Type: Organization
Organization Name: Glacier Family Medicine Clinic LLC
Primary Specialty: Physician Assistant
Enumeration Date: Apr 8, 2007
Last Updated: Apr 13, 2011

Practice Location

Address: 11724 SEWARD HWY
Address 2: STE D
City: Seward
State: Alaska
ZIP Code: 99664-9714
Phone: (907) 224-8733

Authorized Official

Name: MR. BRENT ALLEN URSEL, PAC
Title: CEO PHYSICIAN ASSISTANT
Phone: (907) 224-8733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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