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1629807086
ATLAS MEDICAL ACO LLC
WASILLA, AK
NPI
1629807086
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Entity Type
Organization
Authorized Contact
GREGORY CHAD MANGUM
Owner
435-514-5646
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-08-01
Last Update Date
2024-10-17
Business Address
ATLAS MEDICAL ACO LLC
3831 E BLUE LUPINE DR STE C
WASILLA, AK 99654-8461
Phone number: 907-521-2368
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Mailing Address
ATLAS MEDICAL ACO LLC
PO BOX 4682
LOGAN, UT 84323-4682
Phone number:
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