Organization
SEVEN PRINCIPLES THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROLAND MACK M.D. (PSYCHIATRIST OWNER)
(907) 342-9500
Entity
Organization
Contact information
Practice address
505 W NORTHERN LIGHTS BVLD, ANCHORAGE, AK 99503
(907) 302-8205
Mailing address
2901 ILLIAMNA AVE, ANCHORAGE, AK 99517-1219
(907) 342-9500
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MEDS 7369
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
575135
—
AK
Enumeration date
03/28/2017
Last updated
04/05/2017
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