Organization
PAIN AND HEADACHE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE PHELPS (OFFICE MANAGER)
(907) 357-3740
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR STE B6, WASILLA, AK 99654-7191
(907) 357-3740
(800) 915-0385
Mailing address
851 E WESTPOINT DR STE B6, WASILLA, AK 99654-7191
(907) 357-3740
(800) 915-0385
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
10011620
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583935
—
AK
Enumeration date
04/12/2013
Last updated
12/18/2024
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