Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VACCA PHYSIATRY LLC
Active OrganizationVACCA PHYSIATRY LLC is a Medical Specialty Clinic organization located in EAGLE RIVER, Alaska. NPI 1528456696 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · EAGLE RIVER, AK
Registration Details
- NPI Number
- 1528456696
- Provider Type
- Organization
- NPI Issued
- Dec 24, 2014 (11.674360189318 yrs)
- Last Updated
- Jun 7, 2016
- Licenses
-
51455 (MN)103783 (AK)
Practice Information
- Address
-
10928 EAGLE RIVER RDSUITE 104EAGLE RIVER, AK, 995778078Browse AK providers · Browse ZIP 99577
- Phone
- 9076221300
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Medical Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.