MAT-SU VALLEY III LLC

PALMER, AK
NPI1366752560
Entity TypeOrganization
Authorized ContactKRISTY MUSIC
Director, Provider Enrollment
615-465-7377
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies363A00000X Physician Assistant
363LF0000X Nurse Practitioner, Family
207Q00000X Family Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RG0100X Internal Medicine, Gastroenterology
207RI0011X Internal Medicine, Interventional Cardiology
207V00000X Obstetrics & Gynecology
Enumeration Date2010-10-21
Last Update Date2023-12-12
Business Address
MAT-SU VALLEY III LLC
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone number: 907-861-6565
Mailing Address
MAT-SU VALLEY III LLC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-465-7042