Organization
MEDICAL NETWORK OF ALASKA, LLC
Active
Parent organization
MEDICAL NETWORK OF ALASKA, LLC
Other names
Capstone Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL NETWORK OF ALASKA, LLC
Authorized official
JACQUELYN RENEE BLOMKER (DIRECTOR OF REVENUE CYCLE)
(907) 357-9590
Entity
Organization
Contact information
Practice address
3066 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7254
(907) 357-2332
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
(907) 357-9590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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