Organization · NPI-2

Alaska Pain To Wellness Centre LLC

Pain Medicine, Interventional Pain Medicine · Anchorage, AK

NPI number1831727445

StatusActive

Last updated in NPPESMar 30, 2020

Details

NPI: 1831727445
Entity type: Organization (NPI-2)
Legal business name: Alaska Pain To Wellness Centre LLC
Organization subpart: No
Enumeration date: Mar 30, 2020
Certification date: Mar 30, 2020
Last updated: Mar 30, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208VP0014X	Pain Medicine, Interventional Pain Medicine	–	–	Yes
111NS0005X	Chiropractor, Sports Physician	–	–
163WW0000X	Registered Nurse, Wound Care	–	–

Practice location

2751 Debarr Rd Ste 310
Anchorage, AK 99508-6804

Phone 907-277-9700 · Fax 907-868-1215

Mailing address

2751 Debarr Rd Ste 310
Anchorage, AK 99508-6804

Phone 907-277-9700 · Fax 907-868-1215

Authorized official

Steven Johnson
Owner
9078300920

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