# MEDICAL NETWORK OF ALASKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL NETWORK OF ALASKA, LLC
- **Other names:** Alaska Fracture and Orthopedic Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821796533
- **Legal business name:** MEDICAL NETWORK OF ALASKA, LLC
- **Authorized official:** JACQUELYN RENEE BLOMKER (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (907) 357-9590

## Contact information

- **Practice address:** 17025 SNOWMOBILE LN STE 102, EAGLE RIVER, AK 99577-7044
- **Practice address phone:** (907) 689-3145
- **Mailing address:** 3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
- **Mailing address phone:** (907) 864-4625
- **Mailing address fax:** (907) 313-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2023
- **Last updated:** 02/21/2023