Dr David Chisholm | |
500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 | |
(907) 357-6180 | |
(907) 357-6184 |
Full Name | Dr David Chisholm |
---|---|
Speciality | Family Medicine |
Location | 500 E Swanson Ave, Wasilla, Alaska |
Authorized Official Name and Position | David R Chisholm (OWNER) |
Authorized Official Contact | 9073576180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr David Chisholm 500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 Ph: (907) 357-6180 | Dr David Chisholm 500 E Swanson Ave Ste 3 Wasilla AK 99654-7197 Ph: (907) 357-6180 |
NPI Number | 1336685908 |
---|---|
Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336685908 | NPI | - | NPPES |
1009915 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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