Organization
STANLEY HEALTH CLINICS PC
Active
Other names
Back and Neck Pain Relief Center of Wasilla
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYAN PAYNE DC (CHIROPRACTOR)
(907) 376-2600
Entity
Organization
Contact information
Practice address
300 W SWANSON AVE, SUITE 109, WASILLA, AK 99654-6827
(907) 376-2600
(907) 376-2605
Mailing address
300 W SWANSON AVE, SUITE 109, WASILLA, AK 99654-6827
(907) 376-2600
(907) 376-2605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0295
AK
111N00000X
Chiropractor
CH02971
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912072000
NPI
AK
01
—
1992875777
NPI
AK
Enumeration date
03/13/2007
Last updated
08/22/2020
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