# BRUCK CLIFT MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruck Clift MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154865228
- **Authorized official:** MR. NICHOLAS BRAMAN (BUSINESS MANAGER)
- **Authorized official phone:** (907) 746-6686

## Contact information

- **Practice address:** 1901 NORTH HEMMER ROAD SUITE 110, PALMER, AK 99645
- **Practice address phone:** (907) 746-6686
- **Practice address fax:** (907) 745-7182
- **Mailing address:** PO BOX 2646, PALMER, AK 99645
- **Mailing address phone:** (907) 746-6686
- **Mailing address fax:** (907) 745-7182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MEDS7621 | AK | — |
| 261QM2500X | Medical Specialty Clinic/Center | 7621 | AK | Yes |

## Other

- **Enumeration date:** 12/08/2016
- **Last updated:** 05/29/2018