Organization
JOSE PRIMO N ANZILOTTI
Active
Other names
Heart of Willow Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
MILE 69.1 PARKS HIGHWAY, WILLOW, AK 99688-0349
(907) 495-4362
(907) 495-4363
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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