Organization
ALASKA INNOVATIVE MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI DAVIS (ADMINISTRATOR)
(907) 229-8777
Entity
Organization
Contact information
Practice address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 229-8777
Mailing address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 229-8777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DTND156
AK
163WC0400X
Case Management Registered Nurse
Primary
NURR13740
AK
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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