Unknown Individual – Family Medicine Physician, NPI 1902872625
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
32907 CIRRUS WAY
EAGLE RIVER, AK 995779107
Phone: (907) 622-3569
Fax: (907) 622-3571
Type: Location
32907 Cirrus Way
Eagle River, AK 995779107
Phone: (907) 622-3569
Fax: (907) 622-3571
Type: Location
91-3633 KAULUAKOKO UNIT 406
EWA BEACH, HI 967065867
Phone: (907) 775-6780
Fax: (808) 312-4582
Type: Mailing
Sand Box, Anchorage, Alaska, United States
ANCHORAGE, AK 995241889
Phone: (907) 563-1777
Fax: (907) 561-7464
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99577)
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