Ppgnw - Alaska

NPI #1962804518 in Anchorage, Alaska

Provider Information

NPI Number: 1962804518
Entity Type: Organization
Organization Name: Ppgnw - Alaska
Primary Specialty: Family Medicine
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 4050 LAKE OTIS PKWY
Address 2: SUITE 205
City: Anchorage
State: Alaska
ZIP Code: 99508-5223
Phone: (800) 769-0045

Authorized Official

Name: MARY WENDT
Title: REVENUE CYCLE DIRECTOR
Phone: (206) 328-6826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Nurse Practitioner - Women's Health — Women's Health	363LW0102X

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