Organization
PENINSULA INSTACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE UDELHOVEN PA,C (OWNER)
(907) 420-0575
Entity
Organization
Contact information
Practice address
34581 KENAI SPUR HWY, SUITE 1, SOLDOTNA, AK 99669
(907) 420-0575
(907) 420-0525
Mailing address
34581 KENAI SPUR HWY, SUITE 1, SOLDOTNA, AK 99669
(907) 420-0575
(907) 420-0525
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/31/2020
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