HomeNPI Verification

NPI Verification

National Provider Identifier: 1962705202

Heritage Medical Group LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

501 N KNIK ST

WASILLA, AK 996547050

Phone: 907-232-8545

NPI Enumeration Date

December 8, 2010

NPI Number

1962705202

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