Organization
A WOMAN'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT LEROY SMALL (MANAGER)
(907) 225-1231
Entity
Organization
Contact information
Practice address
1601 TONGASS AVE, SUITE 100, KETCHIKAN, AK 99901-6800
(907) 225-1231
(907) 147-1231
Mailing address
PO BOX 8098, KETCHIKAN, AK 99901-3098
(907) 225-1231
(907) 247-1231
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AK-524
AK
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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