Organization
WILLOW, LLC
Active
Other names
Willow Medical and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILLEEN HA MD (OWNER)
(907) 632-7577
Entity
Organization
Contact information
Practice address
920 E 72ND AVE, ANCHORAGE, AK 99518-2810
(907) 632-7577
(907) 522-4557
Mailing address
1407 W 31ST AVE, SUITE 200, ANCHORAGE, AK 99503-3678
(907) 632-7577
(907) 522-4557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5089
AK
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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