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Organization
INDEPENDENCE HEALTHCARE PC
Active
Organization
INDEPENDENCE HEALTHCARE PC
Active
Parent organization
INDEPENDENCE HEALTHCARE PC
Other names
Corvus Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENCE HEALTHCARE PC
Authorized official
HENRY G KRULL (MD)
(907) 262-6454
Entity
Organization
Contact information
Practice address
289 N FIREWEED ST STE B, SOLDOTNA, AK 99669-7570
(907) 262-6454
Mailing address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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