| NPI | 1538254347 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP ALASKA |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 282054) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-11-03 |