| Family Practice Physicians Inc | |
|
10301 Glacier Hwy Juneau AK 99801-8561 | |
| (907) 789-2910 | |
| (907) 789-5545 |
| Full Name | Family Practice Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10301 Glacier Hwy, Juneau, Alaska |
| Authorized Official Name and Position | Eric Olsen (PHYSICIAN OWNER) |
| Authorized Official Contact | 90077892910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Physicians Inc 10301 Glacier Hwy Juneau AK 99801-8561 Ph: (907) 789-2910 | Family Practice Physicians Inc 10301 Glacier Hwy Juneau AK 99801-8561 Ph: (907) 789-2910 |
| NPI Number | 1275591018 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719879873 |
|---|---|
| Medicare Enrollment ID | O20040325000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275591018 | NPI | - | NPPES |
| GR0136 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nathaniel L Haddock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659397065 PECOS PAC ID: 3678523503 Enrollment ID: I20050222001042 |
| Provider Name | Laura E Dooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437252566 PECOS PAC ID: 5193709574 Enrollment ID: I20050729000608 |
| Provider Name | Myanandi Than |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356426522 PECOS PAC ID: 1951493873 Enrollment ID: I20070823000542 |
| Provider Name | Janna L Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336224351 PECOS PAC ID: 8022024082 Enrollment ID: I20080314000304 |
| Provider Name | Alex D Malter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174549596 PECOS PAC ID: 6608949243 Enrollment ID: I20080715000936 |
| Provider Name | Jessica Marie Snavely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932782141 PECOS PAC ID: 5092190454 Enrollment ID: I20221003002807 |
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