NPI | 1093956278 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP ALASKA |
Entity Type | Organization |
Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2009-03-17 |
Last Update Date | 2025-08-18 |