OrganizationActive
Medical Network of Alaska, LLC
NPI 1033883285 · Dermatology Physician · Wasilla, AK
Provider details
- NPI number
- 1033883285
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medical Network of Alaska, LLC
- Organization subpart
- Yes
- Authorized official
- Jacquelyn Blomker, Director of Revenue Cycle(907) 357-9590
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593
Approximate (ZIP-level) locationGet directions
Mailing address
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Other names (DBA / former)
- Doing business as
- Capstone Dermatology
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2021-08-02
- Certified
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.