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Organization
VALDEZ MEDICAL CLINIC,LLC
Active
Organization
VALDEZ MEDICAL CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L SHIELL (OFFICE MANAGER)
(907) 835-4811
Entity
Organization
Contact information
Practice address
1001 MEALS AVE, VALDEZ, AK 99686
(907) 835-4811
(907) 835-5162
Mailing address
PO BOX 1829, VALDEZ, AK 99686-1829
(907) 835-4811
(907) 835-5162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG968
—
AK
Enumeration date
10/06/2006
Last updated
05/30/2008
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