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

TaxonomyCodeLicense
State or Local Public Health Clinic/Center Primary 261QP0905XNone 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.