Organization
DYNAMI CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN WRIGHTSMAN (DIRECTOR/OWNER)
(907) 750-7488
Entity
Organization
Contact information
Practice address
1584 HILTON AVE, FAIRBANKS, AK 99701-4016
(907) 750-7488
Mailing address
PO BOX 73331, FAIRBANKS, AK 99707-3331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMGX
—
AK
Enumeration date
12/30/2015
Last updated
12/30/2015
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