Organization
ALCAN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY E BLOOD NP (OWNER)
(907) 328-0844
Entity
Organization
Contact information
Practice address
751 OLD RICHARDSON HWY STE 203, FAIRBANKS, AK 99701-7805
(303) 472-6424
Mailing address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-0844
(907) 328-0843
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
12/02/2021
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