Individual
COLIN MEGLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 TAKOTNA AVE, MCGRATH, AK 99627
(907) 729-7000
Mailing address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-6350
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDH0158
—
AK
Enumeration date
11/23/2011
Last updated
10/19/2012
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