Organization
NORTH STAR ACUPUNCTURE LLC
Active
Organization
NORTH STAR ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HENRY ILIFF JR. LAC (OWNER)
(907) 406-0834
Entity
Organization
Contact information
Practice address
630 E 57TH PL, ANCHORAGE, AK 99518-1305
(907) 791-0027
Mailing address
6600 E 6TH AVE APT 3, ANCHORAGE, AK 99504-1770
(907) 406-0834
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
116862
AK
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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