NPI 1750730594

Medical Group of Alaska

Organisation General Practice Physician Wasilla, AK

Practice location

Address: 3190 E Meridian Park Loop STE 207, Wasilla, AK 99654-7422
Phone: (907) 357-7710
Fax: (907) 357-7720

Authorised official

Name: Kira Galliher
Title: Ceo
Phone: (907) 631-4550

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1019166 (AK)

Other General Practice providers in Alaska →

Registry record

NPI: 1750730594
Entity type: Organization
NPI issued: 10 Jun 2016
Record last updated: 15 Nov 2023

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.