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HEALTH WORKS FAMILY MEDICAL CLINIC INC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1679772735

Organizational Registrant:
Organization Name:  HEALTH WORKS FAMILY MEDICAL CLINIC INC
Organization is not Subpart
Authorized Official:  MARY ANN  EGBERT  OWNER  907--62-29675

Location and contact information for practice:
12812 OLD GLENN HWY STE A7  EAGLE RIVER, AK 99577-7003 US
Tel: 907-622-9675  Fax: --

Contact information for business:
12812 OLD GLENN HWY SUITE A7  EAGLE RIVER, AK 99577-7558 US
Tel: 907-770-2301  Fax: 907-770-2325

Registration Information:
NPI: 1679772735
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MPG0003AK05




HEALTH CARE JOBS AK - Page 1



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