Organization
AVALIA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN VAN RAVENSWAAY MD (MANAGING MEMBER)
(907) 531-0027
Entity
Organization
Contact information
Practice address
3519 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1111
(907) 868-1105
Mailing address
PO BOX 140968, ANCHORAGE, AK 99514-0968
(907) 531-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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