Organization
MEDICAL NETWORK OF ALASKA, LLC
Active
Parent organization
MEDICAL NETWORK OF ALASKA, LLC
Other names
Alaska Advanced Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL NETWORK OF ALASKA, LLC
Authorized official
JACQUELYN RENEE BLOMKER (REVENUE CYCLE MANAGER)
(907) 357-9590
Entity
Organization
Contact information
Practice address
1100 E DIMOND BLVD, ANCHORAGE, AK 99515-2001
(907) 357-2332
Mailing address
3331 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7294
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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