Organization
NORTHERN NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA DITOMASO (PRACTICE MANAGER)
(907) 416-6594
Entity
Organization
Contact information
Practice address
3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 99654-7242
(907) 416-6594
(800) 654-6250
Mailing address
3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 99654-7242
(907) 416-6594
(800) 654-6250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
02/09/2026
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