Organization
MAT-SU VALLEY III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
2490 S WOODWORTH LOOP STE 301, PALMER, AK 99645-7407
(907) 861-6700
(833) 464-3851
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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