MAT-SU NEUROLOGY LLC NPI 1578995304

NPI Information

NPI: 1578995304
Provider Name: MAT-SU NEUROLOGY, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
950 E BOGARD RD
SUITE 213
WASILLA, AK
ZIP 99654
Phone: (734) 657-3942
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MAT-SU NEUROLOGY, LLC is a health service clinic center in Wasilla, AK. MAT-SU NEUROLOGY, LLC NPI is 1578995304. The provider is registered as an organization entity type.

The provider's business location address is:

950 E BOGARD RD
SUITE 213
WASILLA, AK
ZIP 99654-184
Phone: (734) 657-3942

The provider's authorized official is David Dwight Buckland .
The authorized official title is Member and has the following contact phone number (734) 657-3942.

The enumeration date for this NPI number is 8/3/2013 and was last updated on 8/3/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	992389	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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