# ALCAN MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134739485
- **Authorized official:** CASEY E BLOOD NP (OWNER)
- **Authorized official phone:** (907) 328-0844

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2020
- **Last updated:** 12/02/2021