Organization
ESSENTIAL ENERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PAUL NELSON LMT (OWNER)
(907) 441-6310
Entity
Organization
Contact information
Practice address
11027 KATLIAN DR, EAGLE RIVER, AK 99577-8124
(907) 441-6310
Mailing address
11027 KATLIAN DR, EAGLE RIVER, AK 99577-8124
(907) 441-6310
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
101388
AK
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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