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NPI Verification

National Provider Identifier: 1134739485

Alcan Medical Group LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Dietitian, Registered, Nutrition, Obesity and Weight Management

Code: 133VN1201X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

751 OLD RICHARDSON HWY STE 101

FAIRBANKS, AK 997017802

Phone: 907-328-0844

NPI Enumeration Date

August 2, 2020

NPI Number

1134739485

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry