Organization
INDEPENDENCE HEALTHCARE PC
Active
Parent organization
INDEPENDENCE HEALTHCARE PC
Other names
Corvus Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENCE HEALTHCARE PC
Authorized official
HENRY G KRULL (MD)
(907) 262-6454
Entity
Organization
Contact information
Practice address
289 N FIREWEED ST STE B, SOLDOTNA, AK 99669-7570
(907) 262-6454
Mailing address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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