OrganizationActive
Arctic Physical Medicine Wasilla
NPI 1790184646 · Family Medicine Physician · Wasilla, AK
Provider details
- NPI number
- 1790184646
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Bergquist, Owner(206) 713-4721
- License
- 1305 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1830 E Parks Hwy Ste A120
Wasilla, AK 99654-7380
Phone: (206) 713-4721
Approximate (ZIP-level) locationGet directions
Mailing address
1830 E Parks Hwy Ste A120
Wasilla, AK 99654-7380
Registry dates
- Enumerated
- 2014-08-16
- Last updated
- 2014-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.