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Organization

ALCAN MEDICAL GROUP LLC

Active
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Organization

ALCAN MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY E BLOOD NP (OWNER)
(907) 328-0844
Entity
Organization

Contact information

Practice address
751 OLD RICHARDSON HWY STE 203, FAIRBANKS, AK 99701-7805
(303) 472-6424
Mailing address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-0844
(907) 328-0843

Taxonomy

Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
08/02/2020
Last updated
12/02/2021
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