Organization
RAYMOND E. ANDREASSEN
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F. CRAWFORD M.B.A. (ADMINISTRATOR)
(907) 895-5100
Entity
Organization
Contact information
Practice address
2360 SERVICE STREET, DELTA JUNCTION, AK 99737-9440
(907) 895-5100
(907) 895-5133
Mailing address
HC 60 BOX 4860, DELTA JUNCTION, AK 99737-9440
(907) 895-5100
(907) 895-5133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA 2011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 9969
—
AK
Enumeration date
07/03/2007
Last updated
10/07/2010
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