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HEALTH WORKS FAMILY MEDICAL CLINIC INC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant 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
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: --
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
Tel: 907-770-2301 Fax: 907-770-2325
Registration Information:
NPI: 1679772735
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MPG0003 | AK | 05 |
