Organization
PALMER FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WARD BROOKS M.D. (PHYSICIAN)
(907) 746-0470
Entity
Organization
Contact information
Practice address
634 S BAILEY ST, SUITE 104, PALMER, AK 99645-6330
(907) 746-2345
Mailing address
3680 S SKY RANCH LOOP, PALMER, AK 99645-9008
(907) 746-0470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4291
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020812
—
AK
Enumeration date
07/17/2006
Last updated
02/07/2014
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