Southcentral Foundation

NPI #1164669040 in Anchorage, Alaska

Provider Information

NPI Number
1164669040
Entity Type
Organization
Organization Name
Southcentral Foundation
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 14, 2009
Last Updated
Jan 28, 2016

Practice Location

Address
4320 DIPLOMACY DR
State
Alaska
ZIP Code
99508-5925
Phone
(907) 729-3300

Authorized Official

Name
RONALD LEE OLSON
Title
VP FINANCE
Phone
(907) 729-4939

Specialties & Taxonomy Codes

Specialty
Chiropractor
Clinic/Center - Primary CarePrimary Care

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