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Organization
MULDOON ASC LLC
Active
Organization
MULDOON ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E WELLER III (ADMINISTRATOR)
(907) 205-1545
Entity
Organization
Contact information
Practice address
6911 DEBARR RD, ANCHORAGE, AK 99504-1806
(907) 205-1545
Mailing address
6911 DEBARR RD, ANCHORAGE, AK 99504-1806
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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