Organization
THUNDERBIRD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN CLARK (ADMINISTRATOR)
(907) 306-8102
Entity
Organization
Contact information
Practice address
2503 KILKENNY CIR, ANCHORAGE, AK 99504-3255
(907) 306-8102
Mailing address
2503 KILKENNY CIR, ANCHORAGE, AK 99504-3255
(907) 306-8102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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