| NPI | 1538254347 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP ALASKA |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-10-18 |