NPI 1174882971

Medical Group of Alaska

Organisation Pain Medicine Physician Wasilla, AK

Practice location

Address: 3190 E Merdian Park Loop Suite 207, Wasilla, AK 99654
Phone: (907) 373-9460
Fax: (907) 373-9461
Mailing address: 3190 E Meridian Park Loop STE 207, Wasilla, AK 99654-7422

Authorised official

Name: Christine Henry-Musa
Title: Ceo
Phone: (907) 357-7710

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 1070929 (AK)

Other Pain Medicine providers in Alaska →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 949810 (AK)

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 1070929 (AK)

Other Durable Medical Equipment & Medical Supplies providers in Alaska →

Registry record

NPI: 1174882971
Entity type: Organization
NPI issued: 14 May 2012
Record last updated: 24 May 2022

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.