Provider First Line Business Practice Location Address:
3211 PROVIDENCE DRIVE RH STE 116
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNCEL
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:
907-786-4040
Provider Business Practice Location Address Fax Number:
907-562-0269
Provider Enumeration Date:
10/04/2016