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Organization

MEDICAL GROUP OF ALASKA

Active
Parent organization
LYNX MEDICAL SERVICES ORGANIZATION
Other names
Algone International Pain Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
LYNX MEDICAL SERVICES ORGANIZATION
Authorized official
CHRISTINE HENRY-MUSA (CEO)
(907) 357-7710
Entity
Organization

Contact information

Practice address
3190 E MERDIAN PARK LOOP, SUITE 207, WASILLA, AK 99654
(907) 373-9460
(907) 373-9461
Mailing address
3190 E MERIDIAN PARK LOOP STE 207, WASILLA, AK 99654-7422
(907) 357-7710
(907) 357-7720

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
1070929
AK
208VP0000X
Pain Medicine Physician
949810
AK
332B00000X
Durable Medical Equipment & Medical Supplies
1070929
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1658871
AK
Enumeration date
05/14/2012
Last updated
05/24/2022
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