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CHARLES G. PERKINS

>> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1114232592

Organizational Registrant:
Organization Name:  CHARLES G. PERKINS
Organization is not Subpart
Authorized Official:  CHARLES G PERKINS  OWNER  907--26-26557

Location and contact information for practice:
167 WAREHOUSE AVE SUITE C SOLDOTNA, AK 99669 US
Tel: 907-262-6557  Fax: 907-262-6559

Contact information for business:
167 WAREHOUSE AVE SUITE C SOLDOTNA, AK 99669 US
Tel: 907-262-6557  Fax: 907-262-6559

Registration Information:
NPI: 1114232592
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261Q00000XAmbulatory Health Care Facilities
Clinic/Center
AK2407

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
M2407AK05




HEALTH CARE JOBS AK - Page 1



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