NPI 1003967753

South Central Family Practice Clinic PC

Organisation Family Medicine Physician Soldotna, AK

Practice location

Address: 161 N Binkley St Suite 101, Soldotna, AK 99669
Phone: (907) 260-7784
Fax: (907) 260-7738
Mailing address: PO Box 1249, Soldotna, AK 99669-1249

Authorised official

Name: Gladys J Bailon
Title: President
Phone: (907) 260-7784

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 901044 (AK)

Other Family Medicine providers in Alaska →

Registry record

NPI: 1003967753
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 18 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.