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Organization
MEDICAL NETWORK OF ALASKA, LLC
Active
Organization
MEDICAL NETWORK OF ALASKA, LLC
Active
Other names
Alpenglow Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN RENEE BLOMKER (RCM)
(907) 864-4625
Entity
Organization
Contact information
Practice address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 357-9590
(907) 357-9593
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 357-9590
(907) 357-9593
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
11/02/2020
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