Whalio Doctors

NPI 1073701421

Family Medical Clinic

Organisation Family Medicine Physician Soldotna, AK

Practice location

Address
206 W Rockwell Ave Suite 100, Soldotna, AK 99669-7411
Phone
(907) 262-7566
Fax
(907) 262-0809

Authorised official

Name
Lavern R Davidhizar
Title
President
Phone
(907) 262-7566

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 1454 (AK)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 4221 (AK)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 4221 (AK)

Registry record

NPI
1073701421
Entity type
Organization
NPI issued
11 Oct 2007
Record last updated
29 Oct 2012

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.