Organization · NPI-2

Bruck Clift MD LLC

Clinic/Center, Medical Specialty · Palmer, AK

NPI number1154865228
StatusActive
Last updated in NPPESMay 29, 2018

Details

NPI
1154865228
Entity type
Organization (NPI-2)
Legal business name
Bruck Clift MD LLC
Organization subpart
No
Enumeration date
Dec 8, 2016
Last updated
May 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty7621AKYes
207Q00000X Family MedicineMEDS7621AK

Other names

  • Bruck Clift MD (Doing Business As)

Practice location

1901 North Hemmer Road Suite 110
Palmer, AK 99645

Phone 907-746-6686 · Fax 907-745-7182

Mailing address

Po Box 2646
Palmer, AK 99645

Phone 907-746-6686 · Fax 907-745-7182

Authorized official

Nicholas Braman
Business Manager
9077466686

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