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Organization
WHALE TAIL HEALTH SERVICES LLC
Active
Organization
WHALE TAIL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MCDONALD (AO/OWNER)
(907) 826-5753
Entity
Organization
Contact information
Practice address
333 COLD STORAGE RD, SUITE 709, CRAIG, AK 99921
(907) 826-5753
Mailing address
PO BOX 709, CRAIG, AK 99921-0709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
07/08/2022
Last updated
07/12/2022
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