WILD IRIS LLC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, AK)
WILD IRIS LLC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, AK) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: WILD IRIS LLC; Type: Organization; NPI: 1003244211.
| Name | WILD IRIS LLC |
|---|---|
| Type | Organization |
| NPI | 1003244211 |
| Provider type | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| State | AK |
| Enrollment ID | O20131230001985 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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