NPI 1104154913

Integrated Care, LLC

Organisation General Practice Physician Wasilla, AK

Practice location

Address: 540 E Hjellen Drive, Wasilla, AK 99654
Phone: (907) 696-1654
Fax: (907) 696-3654
Mailing address: PO Box 773313, Eagle River, AK 99577-3313

Authorised official

Name: Michael T Underwood
Title: Agent
Phone: (907) 696-1654

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 380 (AK)

Other General Practice providers in Alaska →

Registry record

NPI: 1104154913
Entity type: Organization
NPI issued: 7 Dec 2009
Record last updated: 7 Dec 2009

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.