ODLAND FAMILY PRACTICE CLINIC, LLC

WASILLA, AK
NPI1114269313
Entity TypeOrganization
Authorized ContactSHANNON PENDERGRASS
Billing Manager
907-355-0850
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  955730)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
ODLAND FAMILY PRACTICE CLINIC, LLC
950 E BOGARD RD SUITE 234
WASILLA, AK 99654-7184
Phone number: 907-355-0850
Mailing Address
ODLAND FAMILY PRACTICE CLINIC, LLC
950 E BOGARD RD SUITE 234
WASILLA, AK 99687-9481
Phone number: 907-355-0850