KODIAK ISLAND MEDICAL ASSOCIATES LLC is a multi-specialty clinic center in Kodiak, AK. KODIAK ISLAND MEDICAL ASSOCIATES LLC NPI is 1770529794. The provider is registered as an organization entity type.
The provider's business location address is:
1818 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-6065
Fax: (907) 486-2248
The provider's authorized official is Mark E Withrow .
The authorized official title is Owner and has the following contact phone number (907) 486-6065.
The CLIA number assigned to this NPI record is 02D2219265 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/20/2006 and was last updated on 12/6/2017.