Organization
SUSAN K MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K MILLER (CARE COORDINATOR)
(907) 715-8620
Entity
Organization
Contact information
Practice address
3051 S CARYSHEA ST, WASILLA, AK 99623-9409
(907) 715-8620
(888) 477-7735
Mailing address
452 S KNIK GOOSE BAY RD, H100, WASILLA, AK 99654-8059
(907) 715-8620
(907) 631-5092
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
979188
AK
Other
Enumeration date
02/04/2013
Last updated
02/19/2013
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