Organization
ACHIEVE MEDICAL ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA R WEATHERFORD (MANAGER)
(619) 540-3328
Entity
Organization
Contact information
Practice address
1981 E PALMER, SUITE 230, WASILLA, AK 99654
(619) 383-6700
(619) 383-6701
Mailing address
PO BOX 601453, SAN DIEGO, CA 92160-1453
(619) 540-3328
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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