Organization
INNOVA HEALTH RENEWAL LLC
Active
Other names
Innova Health Renewal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERD STANSZUS (OWNER/MANAGER)
(907) 312-7152
Entity
Organization
Contact information
Practice address
8811 TOLOFF ST, ANCHORAGE, AK 99507-3848
(907) 312-7152
Mailing address
8811 TOLOFF ST, ANCHORAGE, AK 99507-3848
(907) 312-7152
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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