NPI 1437489473

Viktor I Goy

Practitioner Physical Disabilities Residential Treatment Facility Wasilla, AK

Practice location

Address: 2935 N. Church Rd, Wasilla, AK 99687-4999
Phone: (907) 373-6747
Fax: (907) 373-3036
Mailing address: 2935 N. Church Rd. P.O. Box 874999, Wasilla, AK 99687-4999

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 936863 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1437489473
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2010
Record last updated: 13 Jan 2010

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.