NPI 1609176783
Algone Center
Practice location
- Address
- 3066 E Meridian Park Loop #1, Wasilla, AK 99654-7299
- Phone
- (907) 373-9460
- Fax
- (907) 373-9461
- Mailing address
- PO Box 870904, Wasilla, AK 99687-0904
Authorised official
- Name
- John Thomas Grissom
- Title
- President
- Phone
- (907) 373-9460
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1609176783
- Entity type
- Organization
- NPI issued
- 23 Oct 2010
- Record last updated
- 1 Mar 2011
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.