Organization
HERITAGE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ZIPPERER JR. MD (MANAGER)
(907) 232-8545
Entity
Organization
Contact information
Practice address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 232-8545
Mailing address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 232-8545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6922
AK
Other
Enumeration date
12/08/2010
Last updated
12/13/2010
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