Organization
DEPARTMENT OF DEFENSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA GOLDEN (CLIINICAL MANAGER)
(907) 580-6221
Entity
Organization
Contact information
Practice address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-1902
Mailing address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 580-1902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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