NPI 1073872669

Lynx Medical Services Organization

Organisation Phlebology Physician Wasilla, AK

Practice location

Address: 3066 E Meridian Park Loop, Wasilla, AK 99654-7299
Phone: (907) 357-2005
Mailing address: 777 E 2100 S, Salt Lake City, UT 84106-1829

Authorised official

Name: Daniel J Crane
Title: Chief Operating Officer
Phone: (800) 909-5866

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Alaska →

Registry record

NPI: 1073872669
Entity type: Organization
NPI issued: 16 May 2012
Record last updated: 16 May 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.