Organization
ALASKA IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN MCCOLLUM (PRESIDENT & CEO)
(877) 396-3161
Entity
Organization
Contact information
Practice address
1801 W END AVE, SUITE 1610, NASHVILLE, TN 37203-2526
(615) 928-6075
(615) 457-1447
Mailing address
PO BOX 681326, FRANKLIN, TN 37068-1326
(877) 396-3161
(615) 457-1447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
09/18/2017
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