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Organization

KABO HEALTH LLC

Active
Other names
Mountain View Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN MARK VANRAVENSWAAY MD (MANAGING MEMBER)
(805) 766-1049
Entity
Organization

Contact information

Practice address
3521 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
(805) 766-1049
Mailing address
3521 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
(805) 766-1049
(907) 868-1105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
111160
AK
261QU0200X
Urgent Care Clinic/Center
Primary
1048438
AK

Other

Enumeration date
05/18/2017
Last updated
11/10/2023
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