# PRIMARY CARE ASSOCIATES

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

## Provider details

- **NPI number:** 1205298957
- **Authorized official:** DR. BRUCE KIESSLING MD (PRESIDENT, MEDICAL DIRECTOR)
- **Authorized official phone:** (907) 562-1234

## Contact information

- **Practice address:** 4100 LAKE OTIS PKWY, SUITE 322, ANCHORAGE, AK 99508-5229
- **Practice address phone:** (907) 562-1234
- **Practice address fax:** (907) 561-8550
- **Mailing address:** 4100 LAKE OTIS PKWY, SUITE 322, ANCHORAGE, AK 99508-5229
- **Mailing address phone:** (907) 562-1234
- **Mailing address fax:** (907) 561-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 109696 | AK | Yes |

## Other

- **Enumeration date:** 03/22/2016
- **Last updated:** 03/22/2016