Organization
ALLIANCE CHIROPRACTIC & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T UNDERWOOD BBA (TECHNICIAN)
(907) 696-1654
Entity
Organization
Contact information
Practice address
4316 KINGSTON DR, ANCHORAGE, AK 99504-4445
(907) 337-6770
(907) 338-6031
Mailing address
PO BOX 212255, ANCHORAGE, AK 99521-2255
(907) 337-6770
(907) 338-6031
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
918089
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558434423
PROVIDER NPI
—
01
—
1720291149
PROVIDER NPI
—
Enumeration date
07/31/2008
Last updated
07/31/2008
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