SOUTHCENTRAL FOUNDATION

ANCHORAGE, AK
NPI1790006492
Entity TypeOrganization
Authorized ContactRONALD LEE OLSON
VP Finance
907-729-4939
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: AK  20467)
Enumeration Date2010-06-16
Last Update Date2016-01-28
Business Address
SOUTHCENTRAL FOUNDATION
4320 DIPLOMACY DR SUITE 1200
ANCHORAGE, AK 99508-5925
Phone number: 907-729-4320
Mailing Address
SOUTHCENTRAL FOUNDATION
4501 DIPLOMACY DR ATTN: PROVIDER ENROLLMENT
ANCHORAGE, AK 99508-5919
Phone number: 907-729-4955