Organization
ANCHORAGE HOUSECALL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANDREW WINCZURA PA-C (OWNER/PROVIDER)
(907) 622-4663
Entity
Organization
Contact information
Practice address
1444 S CREEK RD, EAGLE RIVER, AK 99577-9461
(907) 622-4663
(907) 622-4643
Mailing address
1444 S CREEK RD, EAGLE RIVER, AK 99577-9461
(907) 622-4663
(907) 622-4643
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1032371
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0160
—
AK
Enumeration date
04/05/2016
Last updated
04/05/2016
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