| Jose Primo N Anzilotti | |
|
Mile 69.1 Parks Highway Willow AK 99688-0349 | |
| (907) 495-4362 | |
| (907) 495-4363 |
| Full Name | Jose Primo N Anzilotti |
|---|---|
| Speciality | General Practice |
| Location | Mile 69.1 Parks Highway, Willow, Alaska |
| Authorized Official Name and Position | Joseph E Beaty (BILLING AGENT) |
| Authorized Official Contact | 9077702301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Primo N Anzilotti Po Box 241769 Anchorage AK 99524-1769 Ph: (907) 770-2301 | Jose Primo N Anzilotti Mile 69.1 Parks Highway Willow AK 99688-0349 Ph: (907) 495-4362 |
| NPI Number | 1982721981 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982721981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Sunshine Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24091 W Long Lake Rd, Willow, AK 99688 Phone: 907-495-4100 Fax: 907-733-1735 |