Organization
MINDFUL GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BEESLEY MD (OWNER)
(907) 229-0622
Entity
Organization
Contact information
Practice address
4141 B ST STE 308, ANCHORAGE, AK 99503-5942
(907) 229-0622
Mailing address
4825 QUEENS CT, ANCHORAGE, AK 99508-4812
(907) 229-0622
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009668
—
AK
Enumeration date
10/19/2022
Last updated
10/19/2022
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