Organization
NORTHWEST MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ C LOUTZENHEISER R.N. (CLINIC MANAGER)
(907) 276-6301
Entity
Organization
Contact information
Practice address
2841 DEBARR RD, SUITE 22, ANCHORAGE, AK 99508-2932
(907) 276-6301
(907) 264-1541
Mailing address
2841 DEBARR RD, SUITE 22, ANCHORAGE, AK 99508-2932
(907) 276-6301
(907) 264-1541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0154
—
AK
Enumeration date
02/03/2006
Last updated
05/27/2008
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