| Odland Family Practice Clinic, Llc | |
|
950 E Bogard Rd Suite 234 Wasilla AK 99654-7184 | |
| (907) 355-0850 | |
| (907) 373-0117 |
| Full Name | Odland Family Practice Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 950 E Bogard Rd, Wasilla, Alaska |
| Authorized Official Name and Position | Shannon Pendergrass (BILLING MANAGER) |
| Authorized Official Contact | 9073550850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odland Family Practice Clinic, Llc 950 E Bogard Rd Suite 234 Wasilla AK 99687-9481 Ph: (907) 355-0850 | Odland Family Practice Clinic, Llc 950 E Bogard Rd Suite 234 Wasilla AK 99654-7184 Ph: (907) 355-0850 |
| NPI Number | 1114269313 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114269313 | NPI | - | NPPES |
| MD1574 | Medicaid | AK | |
| MD9857 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 955730 (Alaska) | Primary |
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