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PREMIER SPORTS MEDICINE INC. NPI 1659846293


NPI Information

NPI: 1659846293
Provider Name: PREMIER SPORTS MEDICINE, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
35670 KENAI SPUR HWY STE 104
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-0801
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PREMIER SPORTS MEDICINE, INC. is a general practice in Soldotna, AK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMIER SPORTS MEDICINE, INC. NPI is 1659846293. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35670 KENAI SPUR HWY STE 104
SOLDOTNA, AK
ZIP 99669-649
Phone: (907) 262-0801
Fax: (907) 262-0860

The provider's authorized official is Cheryl Kay Larson .
The authorized official title is Owner/office Manager and has the following contact phone number (907) 262-0801.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 10/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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