Graduated: 2022
NPI: 1003537325
Practice Locations (2)
MOOSE CREEK MEDICAL CLINIC LLC
211 E FAIRVIEW LOOP, MOOSE CREEK MEDICAL CLINIC LLC
Wasilla, AK 996540568
MOOSE CREEK MEDICAL CLINIC LLC
211 E FAIRVIEW LOOP
WASILLA, AK 996540568
9073733335
Source: CMS National Downloadable File, September 2026.