OrganizationActive
Medical Group of Alaska
NPI 1174882971 · Pain Medicine Physician · Wasilla, AK
Provider details
- NPI number
- 1174882971
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lynx Medical Services Organization
- Authorized official
- Christine Henry-Musa, Ceo
- License
- 949810 (AK)
Practice location
3190 E Merdian Park Loop
Suite 207
Wasilla, AK 99654
Phone: (907) 373-9460
Fax: (907) 373-9461
Mailing address
3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.