Organization
OLGA IRIS WASILE
Active
Other names
Peters Creek Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E HODGES (OFFICE MANAGER)
(907) 688-0901
Entity
Organization
Contact information
Practice address
20905 EASTSIDE DR #1, CHUGIAK, AK 99567-1249
(907) 688-0901
(907) 688-0830
Mailing address
PO BOX 671249, CHUGIAK, AK 99567-1249
(907) 688-0901
(907) 688-0830
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306952569
WASILE NPI
AK
01
—
4987
OCCUPATIONAL LICENSE
AK
05
—
MD57672
—
AK
Enumeration date
03/05/2007
Last updated
06/18/2008
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