institution
Southcentral Foundation
General Practice Physician in Anchorage, Alaska
NPI 1710293006

Southcentral Foundation is a General Practice Physician based in Seattle, AK. Southcentral Foundation practices in Anchorage, AK. The NPI Number for Southcentral Foundation is 1710293006 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 4501 Diplomacy Dr, Anchorage, AK and can be reached out via phone at 907-729-4955.

Location: 4501 Diplomacy Dr, Anchorage, AK, 98124-5198
institution
Provider Profile Details
NPI Number
1710293006
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
4501 Diplomacy Dr, Anchorage, AK, 98124-5198
Phone Number
907-729-4955
Fax Number
Provider Enumeration Date
08/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1701244 05 AK
institution
Provider Business Practice Location Address Details
Address
4501 Diplomacy Dr
City
State
Zip
99508-5919
Phone Number
907-729-4955
Fax Number
person
Provider Business Mailing Address Details
Address
4501 Diplomacy Dr
City
State
Zip
99508-5919
Phone Number
907-729-4955
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20467 (Alaska)
Definition
Definition to come...
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