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Organization
WELLSPRING PHYSICIAN, P.C.
Active
Organization
WELLSPRING PHYSICIAN, P.C.
Active
Other names
Wellspring Physician, P.C. (AK)
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J SOWERWINE MD (CMO)
(979) 221-1398
Entity
Organization
Contact information
Practice address
8585 OLD DAIRY RD STE 208, JUNEAU, AK 99801-8094
(877) 872-0370
(855) 908-2520
Mailing address
4359 ROANS CHAPEL RD, COLLEGE STATION, TX 77845-4096
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/25/2017
Last updated
07/28/2026
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