Organization
HEART OF EAGLE RIVER MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J HOLDER (BILLING AGENT)
(907) 694-1300
Entity
Organization
Contact information
Practice address
11432 BUSINESS BLVD, SUITE 4, EAGLE RIVER, AK 99577-7720
(907) 694-1300
(907) 694-1315
Mailing address
11432 BUSINESS BLVD, SUITE 4, EAGLE RIVER, AK 99577-7720
(907) 694-1300
(907) 694-1315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
06/21/2018
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