Organization

Atlas Medical Aco Llc

Clinic/Center in Wasilla, AK(View on Map)

Legal Business Name

Atlas Medical Aco Llc

NPI Number

1629807086

NPI Type

Organization

Enumeration Date

08/01/2024

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 4682
3831 E BLUE LUPINE DR STE C

City

Logan
Wasilla

State

UT
AK

Postal Code

84323-4682
99654-8461

Country

US
US

Telephone Number

N/A
(907) 521-2368

Authorized Official

Name

Gregory Mangum

Title or Position

OWNER

Telephone Number

(435) 514-5646

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2024

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