OrganizationActive
Medical Network of Alaska, LLC
NPI 1235024936 · Dermatology Physician · Anchorage, AK
Provider details
- NPI number
- 1235024936
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medical Network of Alaska, LLC
- Organization subpart
- Yes
- Authorized official
- Jacquelyn Blomker, Revenue Cycle Manager(907) 357-9590
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 E Dimond Blvd
Anchorage, AK 99515-2001
Phone: (907) 357-2332
Approximate (ZIP-level) locationGet directions
Mailing address
3331 E Meridian Park Loop
Wasilla, AK 99654-7294
Other names (DBA / former)
- Doing business as
- Alaska Advanced Dermatology
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.