Provider First Line Business Practice Location Address:
PROVIDENCE MEDICAL CENTER ALASKA, ANCHORAGE EMERGENCY D
Provider Second Line Business Practice Location Address:
3200 PROVIDENCE DRIVE
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-212-3111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2008