Hillside Family Medicine, Llc

NPI 1417120965 - Family Medicine - 207Q00000X

NPI Details
NPI 1417120965
Enumeration Date 04/04/2008
Last Updated 04/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (907) 344-0200
Fax (907) 344-0214
Practice Location
9220 LAKE OTIS PKWY STE 9
ANCHORAGE AK, 99507-4249, US
Phone (907) 344-0200
Fax (907) 344-0214
Business Location
9220 LAKE OTIS PKWY STE 9
ANCHORAGE AK, 99507-4249, US
Phone (907) 344-0200
Fax (907) 344-0214
Toxanomy
Taxonomy Code 207Q00000X
License State Alaska
License Number 309063
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According to our database, Hillside Family Medicine, Llc NPI is 1417120965, taxonomy code is 207Q00000X and license number is 309063, license state is located at Alaska. Hillside Family Medicine, Llc physically located at 9220 Lake Otis Pkwy Ste 9, Anchorage AK, 99507-4249. NPI Number 1033115704 has the healthcare provider type.

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1417120965 NPI number is provided on an as is basis without warranty of any kind. 1417120965 is maintained by the National Plan & Provider Enumeration System. The contents of Hillside Family Medicine, Llc are for informational purposes only.