Organization
WHITE SKYE SUMMIT LLC
Active
Parent organization
WHITE SKYE SUMMIT LLC
Other names
Arctic Skye Family Medicine, Arctic Skye Family medicime
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE SKYE SUMMIT LLC
Authorized official
REBECCA SC WHITE MD (OWNER/MEMBER)
(907) 357-7944
Entity
Organization
Contact information
Practice address
2851 E PALMER WASILLA HWY STE 3, WASILLA, AK 99654-7499
(907) 357-7944
(907) 357-7991
Mailing address
561 S DENALI, SUITE E, PALMER, AK 99645
(907) 745-7944
(907) 745-7918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2726
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2726
STATE LICENSE
AK
Enumeration date
07/16/2007
Last updated
06/07/2024
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