Southcentral Foundation

NPI #1508386178 in Wasilla, Alaska

Provider Information

NPI Number
1508386178
Entity Type
Organization
Organization Name
Southcentral Foundation
Primary Specialty
Chiropractor - Rehabilitation
Enumeration Date
Jun 23, 2017
Last Updated
Jun 23, 2017

Practice Location

Address
1001 S KNIK GOOSE BAY RD
State
Alaska
ZIP Code
99654-8083
Phone
(907) 729-8624

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Chiropractor - RehabilitationRehabilitation

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