Organization
NATIVE VILLAGE OF TYONEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MATTHEW ROGERS (TRIBAL ADMINISTRATOR)
(907) 583-2201
Entity
Organization
Contact information
Practice address
73 C STREET, TYONEK, AK 99682
(907) 583-2461
(907) 583-2155
Mailing address
PO BOX 82009, TYONEK, AK 99682-0009
(907) 583-2461
(907) 583-2155
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
AK
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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