Provider First Line Business Practice Location Address:
1201 N MULDOON RD
Provider Second Line Business Practice Location Address:
ALASKA VA HEALTHCARE SYSTEM
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99504-6104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-580-2740
Provider Business Practice Location Address Fax Number:
907-580-2090
Provider Enumeration Date:
11/28/2005