Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Speech Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MORGAN (DIRECTOR OF REIMBURSEMENT)
(907) 729-4955
Entity
Organization
Contact information
Practice address
6901 E TUDOR RD, ANCHORAGE, AK 99507-1241
(907) 729-6100
Mailing address
4201 TUDOR CENTRE DRIVE, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
20467
AK
261QH0700X
Hearing and Speech Clinic/Center
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Other
Enumeration date
07/18/2007
Last updated
02/15/2011
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