Organization
BOREALIS LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNI STICKLE (PRACTICE MANAGER)
(907) 206-4689
Entity
Organization
Contact information
Practice address
2501 E 42ND AVE, ANCHORAGE, AK 99508-5369
(907) 206-4689
(907) 206-7426
Mailing address
2501 E 42ND AVE, ANCHORAGE, AK 99508-5369
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
05/11/2023
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