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Organization

REDOUBT MEDICAL GROUP LLC.

Active
Other names
Redoubt Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN ITANO MERRICK NURSE PRACTITIONER (OFFICE MANAGER)
(907) 283-6030
Entity
Organization

Contact information

Practice address
416 FRONTAGE RD STE 200, KENAI, AK 99611-7770
(907) 283-6030
(907) 283-3194
Mailing address
416 FRONTAGE RD STE 200, KENAI, AK 99611-7770
(907) 283-6030
(907) 283-3194

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/07/2022
Last updated
03/08/2022
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