Organization
ANTHONY LEE WHEELER
Active
Other names
Talkeetna Denali Family Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ERNEST YATES MD (MEDICAL DIRECTOR)
(907) 733-2708
Entity
Organization
Contact information
Practice address
125 FIRST ST, BOX 1148, TALKEETNA, AK 99676
(907) 733-2708
Mailing address
PO BOX 1148, 125 FIRST ST, TALKEETNA, AK 99676-1148
(907) 733-2708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3773
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 37732
—
AK
05
—
PH 37732
—
AK
Enumeration date
01/17/2007
Last updated
06/21/2018
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