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Organization
BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION
Active
Organization
BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION
Active
Other names
BCDC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ODETTE BUTLER (EXECUTIVE DIRECTOR)
(907) 479-3909
Entity
Organization
Contact information
Practice address
1905 COWLES ST, FAIRBANKS, AK 99701-5914
(907) 479-3909
(907) 479-2215
Mailing address
1905 COWLES ST, FAIRBANKS, AK 99701-5914
(907) 479-3909
(907) 479-2215
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
235774
AK
261QR0207X
Mobile Mammography Clinic/Center
235774
AK
Other
Enumeration date
01/19/2007
Last updated
10/08/2013
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