Organization
BRUCK CLIFT MD LLC
Active
Other names
Bruck Clift MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS BRAMAN (BUSINESS MANAGER)
(907) 746-6686
Entity
Organization
Contact information
Practice address
1901 NORTH HEMMER ROAD SUITE 110, PALMER, AK 99645
(907) 746-6686
(907) 745-7182
Mailing address
PO BOX 2646, PALMER, AK 99645
(907) 746-6686
(907) 745-7182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MEDS7621
AK
261QM2500X
Medical Specialty Clinic/Center
Primary
7621
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659361
—
AK
Enumeration date
12/08/2016
Last updated
05/29/2018
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