Organization
SEARHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON DOREEN SHANE (RN)
(907) 463-4040
Entity
Organization
Contact information
Practice address
3245 HOSPITAL DRIVE, JUNEAU, AK 99801
(907) 463-4040
Mailing address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
(907) 463-6663
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NUR R 28909
AK
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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