Organization · Type 2 NPI
State of Alaska Department of Administration
State or Local Public Health Clinic/Center · Juneau, AK
NPI number
1790964708
Active
Practice location
350 Main St, Room 514
Juneau, AK 99801-1149
Fax (907) 465-3913
Mailing address
PO Box 110611
Juneau, AK 99811-0611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| State or Local Public Health Clinic/Center Primary | 261QP0905X | None listed |
State or Local Public Health Clinic/Center: Definition to come...
About NPI 1790964708
State of Alaska Department of Administration's National Provider Identifier is 1790964708, issued on Oct 25, 2007. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Juneau, AK. The record was last updated on Sep 16, 2008.