Organization
REAL TIME II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN LEE BLUME RDMS, RDCS (OWNER, SONOGRAPHER)
(907) 357-2158
Entity
Organization
Contact information
Practice address
1700 E BOGARD RD # 101, WASILLA, AK 99654-6563
(907) 357-2158
(907) 357-5849
Mailing address
1700 E BOGARD RD # 101, WASILLA, AK 99654-6563
(907) 357-2158
(907) 357-5849
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
12/04/2007
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