Organization
HEALTH WELLNESS AND LONGEVITY CLINIC LLC
Active
Other names
Internal Medicine HWL Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE BROWN MD (OWNER)
(907) 202-9366
Entity
Organization
Contact information
Practice address
2741 DEBARR RD STE C416, ANCHORAGE, AK 99508-2998
(907) 931-7101
(907) 274-7855
Mailing address
2741 DEBARR RD STE C416, ANCHORAGE, AK 99508-2998
(907) 931-7101
(907) 274-7855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124426754
NPI TYPE 1
—
01
—
1881369189
NPI TYPE 2
AK
Enumeration date
08/10/2021
Last updated
10/02/2023
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