ARCTIC PHYSICAL MEDICINE WASILLA NPI 1790184646

NPI Information

ARCTIC PHYSICAL MEDICINE WASILLA is a family medicine in Wasilla, 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. ARCTIC PHYSICAL MEDICINE WASILLA NPI is 1790184646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 E PARKS HWY STE A120
WASILLA, AK
ZIP 99654-380
Phone: (206) 713-4721

The provider's authorized official is Kyle T Bergquist .
The authorized official title is Owner and has the following contact phone number (206) 713-4721.

The enumeration date for this NPI number is 8/16/2014 and was last updated on 8/16/2014.

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:

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