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NPI Code Detail

MEDICARE: KAARLO ALAKOSKI PA-C

MEDICARE: KAARLO ALAKOSKI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant97-PA16NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508897455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAARLO ALAKOSKI PA-C
Provider Business Mailing Address
First Line : PO BOX 6210
Second Line :
City : FARMINGTON
State : NM
Zip : 87499-6210
Country : US
Telephone Number : 505-609-2258
Fax Number : 505-609-2259
Provider Business Practice Location Address
First Line : 4820 E MAIN ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87402-8660
Country : US
Telephone Number : 505-609-6495
Fax Number : 505-324-0504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/09/2013

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Directions to “ KAARLO ALAKOSKI PA-C” Practice Location

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