Organization
MEDICAL NETWORK OF ALASKA, LLC
Active
Parent organization
CAPSTONE FAMILY MEDICINE, LLC
Other names
Capstone Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPSTONE FAMILY MEDICINE, LLC
Authorized official
JACQUELYN RENEE BLOMKER (RCM)
(907) 864-4625
Entity
Organization
Contact information
Practice address
10543 KENAI SPUR HWY, KENAI, AK 99611-7812
(907) 357-9590
(907) 357-9593
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 357-9590
(907) 357-9593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/29/2019
Last updated
11/02/2020
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