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)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
Provider Address
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