Organization · Type 2 NPI

Medical Group of Alaska

Pain Medicine Physician · Wasilla, AK

NPI number 1174882971 Active

Practice location

3190 E Merdian Park Loop, Suite 207
Wasilla, AK 99654

Call (907) 373-9460 Map

Fax (907) 373-9461

Mailing address

3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422

Specialties and licenses

Taxonomy	Code	License
Pain Medicine Physician	208VP0000X	949810 (AK)
Pain Medicine Physician Primary	208VP0000X	1070929 (AK)
Durable Medical Equipment & Medical Supplies	332B00000X	1070929 (AK)

Pain Medicine Physician: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contri…

NPI record

NPI: 1174882971
Entity type: Organization (Type 2)
Issued: May 14, 2012
Last updated: May 24, 2022
Status: Active
Subpart: Yes of Lynx Medical Services Organization

Other names

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Algone International Pain Clinic · doing business as

Authorized official

Christine Henry-Musa
CEO
(907) 357-7710

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174882971

Medical Group of Alaska's National Provider Identifier is 1174882971, issued on May 14, 2012. The primary taxonomy on file is Pain Medicine Physician (208VP0000X), and the practice location is in Wasilla, AK. The record was last updated on May 24, 2022.