Provider First Line Business Practice Location Address:
250 HOSPITAL PLACE
Provider Second Line Business Practice Location Address:
CENTRAL PENINSULA HOSPITAL
Provider Business Practice Location Address City Name:
SOLDOTNA
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-208-8388
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2007