Organization · Type 2 NPI
Integrated Care, LLC
General Practice Physician · Wasilla, AK
NPI number
1104154913
Active
Practice location
540 E Hjellen Drive
Wasilla, AK 99654
Fax (907) 696-3654
Mailing address
PO Box 773313
Eagle River, AK 99577-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 380 (AK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Wasilla
About NPI 1104154913
Integrated Care, LLC's National Provider Identifier is 1104154913, issued on Dec 7, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Wasilla, AK. The record was last updated on Dec 7, 2009.