Organization
PETERS CREEK MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA IRIS WASILE M.D. (PRESIDENT)
(907) 688-0901
Entity
Organization
Contact information
Practice address
20905 EASTSIDE DR, CHUGIAK, AK 99567-6286
(907) 688-0901
(907) 688-0830
Mailing address
20905 EASTSIDE DR, CHUGIAK, AK 99567-6286
(907) 688-0901
(907) 688-0830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AK4987
AK
Other
Enumeration date
06/24/2010
Last updated
06/29/2010
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