Willow, Llc

NPI 1548420920 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1548420920
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EILLEEN EILLEEN
Position OWNER
Phone (907) 632-7577
Fax (907) 522-4557
Practice Location
920 E 72ND AVE
ANCHORAGE AK, 99518-2810, US
Phone (907) 632-7577
Fax (907) 522-4557
Business Location
1407 W 31ST AVE
SUITE 200
ANCHORAGE AK, 99503-3678, US
Phone (907) 632-7577
Fax (907) 522-4557
Toxanomy
Taxonomy Code 2084P0800X
License State Alaska
License Number 5089
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According to our database, Willow, Llc NPI is 1548420920, taxonomy code is 2084P0800X and license number is 5089, license state is located at Alaska. Willow, Llc physically located at 920 E 72nd Ave, Anchorage AK, 99518-2810. NPI Number 1033115704 has the healthcare provider type.

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1548420920 NPI number is provided on an as is basis without warranty of any kind. 1548420920 is maintained by the National Plan & Provider Enumeration System. The contents of Willow, Llc are for informational purposes only.