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Organization

METRO CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAY LEE WALDROUP DC (OWNER)
(907) 276-6325
Entity
Organization

Contact information

Practice address
401 W INTERNATIONAL AIRPORT RD STE 11, ANCHORAGE, AK 99518-1168
(907) 276-6325
(907) 276-6330
Mailing address
401 W INTERNATIONAL AIRPORT RD STE 11, ANCHORAGE, AK 99518-1168
(907) 276-6325
(907) 276-6330

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
192093
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH0057
AK
Enumeration date
01/30/2008
Last updated
07/30/2008
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