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Contact Information

STACEY WILSON
100 AIRPORT RD #366
MOUNTAIN VILLAGE, AK99632
 Phone: 907-591-6295
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for

NPI # 1477832558
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/08/2011
Last updated 08/08/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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