NPI 1013558360

Medical Network of Alaska, LLC

Organisation Obstetrics & Gynecology Physician Wasilla, AK

Practice location

Address: 3122 E Meridian Park Loop, Wasilla, AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593

Authorised official

Name: Jacquelyn Renee Blomker
Title: Rcm
Phone: (907) 864-4625

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Alaska →

Registry record

NPI: 1013558360
Entity type: Organization
NPI issued: 7 Oct 2019
Record last updated: 2 Nov 2020

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.