Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arctic Physical Medicine Wasilla

Organization Family Medicine Physician · NPI 1790184646

Arctic Physical Medicine Wasilla is a Family Medicine Physician in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2014.

Licensed in
AK
In the registry since
2014

Practice location Address checks out

1830 E Parks Hwy Ste A120
Wasilla, AK 99654-7380
Phone: (206) 713-4721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1305 (AK)

Record details

NPI number1790184646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Bergquist — Owner · (206) 713-4721
NPI enumeratedAugust 16, 2014
Last updated in NPPESAugust 16, 2014
Mailing address1830 E Parks Hwy Ste A120, Wasilla, AK 99654-7380

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