# INDEPENDENCE HEALTHCARE PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDEPENDENCE HEALTHCARE PC
- **Other names:** Corvus Neurology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649861576
- **Legal business name:** INDEPENDENCE HEALTHCARE PC
- **Authorized official:** HENRY G KRULL (MD)
- **Authorized official phone:** (907) 262-6454

## Contact information

- **Practice address:** 289 N FIREWEED ST STE B, SOLDOTNA, AK 99669-7570
- **Practice address phone:** (907) 262-6454
- **Mailing address:** 291 N FIREWEED ST, SOLDOTNA, AK 99669-7540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021