ARCTIC PHYSICAL MEDICINE WASILLA

WASILLA, AK
NPI1790184646
Entity TypeOrganization
Authorized ContactKYLE T BERGQUIST
Owner
206-713-4721
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  1305)
Enumeration Date2014-08-16
Last Update Date2014-08-16
Business Address
ARCTIC PHYSICAL MEDICINE WASILLA
1830 E PARKS HWY STE A120
WASILLA, AK 99654-7380
Phone number: 206-713-4721
Mailing Address
ARCTIC PHYSICAL MEDICINE WASILLA
1830 E PARKS HWY STE A120
WASILLA, AK 99654-7380
Phone number: