Organization
GIRDWOOD CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L DORIUS ANP (PRESIDENT)
(907) 783-1355
Entity
Organization
Contact information
Practice address
LOT 17 BLOCK 1, NEW GIRDWOOD TOWN SITE, GIRDWOOD, AK 99587
(907) 783-1355
(907) 783-1357
Mailing address
PO BOX 1130, GIRDWOOD, AK 99587-1130
(907) 783-1355
(907) 783-1357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS5623
—
AK
Enumeration date
06/13/2006
Last updated
08/22/2020
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