Organization
INTERIOR WOMEN'S HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL BRUNO BAURICK M.D. (OWNER)
(907) 479-7701
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, STE. 205, FAIRBANKS, AK 99701-5930
(907) 479-7701
(907) 479-7718
Mailing address
1919 LATHROP ST, STE. 205, FAIRBANKS, AK 99701-5930
(907) 479-7701
(907) 479-7718
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
297091
AK
261QM2500X
Medical Specialty Clinic/Center
297091
AK
261QP2300X
Primary Care Clinic/Center
297091
AK
Other
Enumeration date
10/23/2006
Last updated
10/10/2011
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