STATE OF ALASKA DEPARTMENT OF ADMINISTRATION

NPI # 

Practice Address:

350 Main St , Room 514

Juneau, AK, 99801-1149

Practice Phone:

907-465-3150

Practice Fax:

907-465-3913

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X