Organization
COBURN HEALTH CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY L COBURN FNP-BC (OWNER)
(907) 854-8840
Entity
Organization
Contact information
Practice address
4401 BUSINESS PARK BLVD # N-26, ANCHORAGE, AK 99503-7172
(907) 854-8840
Mailing address
18828 MOOSE PLACE, CHUGIAK, AK 99567-6645
(907) 854-8840
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022977
—
AK
Enumeration date
05/17/2017
Last updated
05/17/2017
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