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Organization

FAMILY CHIROPRACTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SIMON WILLIAM CARRAWAY DC (OWNER)
(907) 563-4111
Entity
Organization

Contact information

Practice address
5121 ARCTIC BLVD, SUITE E, ANCHORAGE, AK 99503-7009
(907) 563-4111
(907) 563-4113
Mailing address
PO BOX 220213, ANCHORAGE, AK 99522-0213
(907) 563-4111
(907) 563-4113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
114
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH0013
AK
Enumeration date
06/04/2007
Last updated
12/14/2007
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