Innova Health Renewal LLC

NPI #1972902153 in Anchorage, Alaska

Provider Information

NPI Number
1972902153
Entity Type
Organization
Organization Name
Innova Health Renewal LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Aug 14, 2014
Last Updated
Aug 14, 2014

Practice Location

Address
8811 TOLOFF ST
State
Alaska
ZIP Code
99507-3848
Phone
(907) 312-7152

Authorized Official

Name
MR. GERD STANSZUS
Title
OWNER/MANAGER
Phone
(907) 312-7152

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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