Individual
ALEX O BUNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12812 OLD GLENN HWY STE C3, EAGLE RIVER, AK 99577-7002
(907) 696-8020
Mailing address
436 N MAIN ST, WASILLA, AK 99654-7018
(907) 376-8020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
170154
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170154
CHIROPRACTIC LICENSE
AK
Enumeration date
01/23/2021
Last updated
01/23/2021
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