institution
Integrated Care, Llc
General Practice Physician in Wasilla, Alaska
NPI 1104154913

Integrated Care, Llc is a General Practice Physician based in Eagle River, AK. Integrated Care, Llc practices in Wasilla, AK. The NPI Number for Integrated Care, Llc is 1104154913 and holds a License No. 380 (Alaska).

The current practice location address for Integrated Care, Llc is 540 E Hjellen Drive, Wasilla, AK and can be reached out via phone at 907-696-1654 and via fax at 907-696-3654. You can also correspond with Integrated Care, Llc through the mailing address at PO BOX 773313, EAGLE RIVER, AK - 99577-3313 (mailing address contact number: 907-696-1654).

Location: 540 E Hjellen Drive, Wasilla, AK, 99577-3313
institution
Provider Profile Details
NPI Number
1104154913
Provider Name
Integrated Care, Llc
Credential
Provider Entity Type
Organization
Address
540 E Hjellen Drive, Wasilla, AK, 99577-3313
Phone Number
907-696-1654
Fax Number
907-696-3654
Provider Enumeration Date
12/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
380 01 AK AK STATE LICENSE
1881735967 01 NPI
institution
Provider Business Practice Location Address Details
Address
540 E Hjellen Drive
City
State
Zip
99654
Phone Number
907-696-1654
Fax Number
907-696-3654
person
Provider Business Mailing Address Details
Address
Po Box 773313
City
State
Zip
99577-3313
Phone Number
907-696-1654
Fax Number
907-696-3654
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
380 (Alaska)
Definition
Definition to come...
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