Organization
TRAILERCRAFT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE STOOPS (ACCOUNTS RECEIVABLE)
(907) 563-3631
Entity
Organization
Contact information
Practice address
1301 E 64TH AVE, ANCHORAGE, AK 99518-1908
(907) 563-3631
(907) 561-4995
Mailing address
1301 E 64TH AVE, ANCHORAGE, AK 99518-1908
(907) 563-3631
(907) 561-4995
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
27465
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EM7670
—
AK
05
—
MS7670
—
AK
Enumeration date
03/06/2007
Last updated
08/22/2020
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