FAMILY MEDICAL CLINIC NPI 1073701421

NPI Information

FAMILY MEDICAL CLINIC is a family medicine in Soldotna, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL CLINIC NPI is 1073701421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lavern Davidhizar.

The provider's business location address is:

206 W ROCKWELL AVE
SUITE 100
SOLDOTNA, AK
ZIP 99669-411
Phone: (907) 262-7566
Fax: (907) 262-0809

The provider's authorized official is Lavern R Davidhizar .
The authorized official title is President and has the following contact phone number (907) 262-7566.

The CLIA number assigned to this NPI record is 02D0884734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 10/29/2012.

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:

Other Identifiers

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