# MEDICAL NETWORK OF ALASKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Resound ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922862986
- **Authorized official:** JACQUELYN RENEE BLOMKER (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (907) 357-9590

## Contact information

- **Practice address:** 1100 E DIMOND BLVD, ANCHORAGE, AK 99515-2010
- **Practice address phone:** (907) 864-4625
- **Mailing address:** 3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
- **Mailing address phone:** (907) 357-9590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 02/09/2024