NPI 1831393073

Maniilaq Association

Organisation Family Medicine Physician Kotzebue, AK

Practice location

Address: 436 5th & Ted Stevens Way, Kotzebue, AK 99752
Phone: (907) 442-3321
Fax: (907) 442-7250
Mailing address: PO Box 43, Kotzebue, AK 99752-0043

Authorised official

Name: Paul Hanson
Title: Administrator
Phone: (907) 442-3321

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 234051 (AK)

Other Family Medicine providers in Alaska →

Registry record

NPI: 1831393073
Entity type: Organization
NPI issued: 12 Jun 2007
Record last updated: 22 Aug 2020

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.