ODLAND FAMILY PRACTICE CLINIC, LLC
Marriage and Family Therapists at Bogard Rd, Wasilla, AK

License number
Alaska 955730
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SHANNON PENDERGRASS CMRS
Title: BILLING MANAGER
Phone: (907) 355-0850
Address
Address
950 E Bogard Rd SUITE 234, Wasilla, AK 99654
National Provider ID: 1114269313
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ODLAND FAMILY PRACTICE CLINIC, LLC

Wasilla, AK

Industry:
Medical Doctor's Office Osteopathic Physician's Office
Doing business as:
Odland Family Practice Clinic<br>Odland Family Practice Clinic - Duane Odland DO<br>Odland Family Practice Clinic - Megan Nystrom Do
Registration:
Apr 1, 2013
Phone:
(907) 373-0850 (Phone)
Addresses:
PO Box 876364, Wasilla, AK 99687 (Mailing)
950 E Bogard Rd STE 234, Wasilla, AK 99654 (Physical)
State ID:
10010779
Business type:
Limited Liability Company
Expiration:
Perpetual
Receptionist Secretary, Receptionists:
Duane I Odland (Member, Owner, Family Practitioner, Osteopathy),Megan D Nystrom (Member, Family Practitioner),Donita Odland (Office Manager, Manager),...

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