Organization
GUSTAVUS COMMUNITY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA A BERG (BOARD PRESIDENT)
(907) 697-3008
Entity
Organization
Contact information
Practice address
42 DOLLY VARDEN LANE, GUSTAVUS, AK 99826
(907) 697-3008
(907) 697-3034
Mailing address
PO BOX 399, GUSTAVUS, AK 99826-0399
(907) 697-3008
(907) 697-3034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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