Provider First Line Business Practice Location Address:
GREATLAND CLINICAL ASSOCIATES
Provider Second Line Business Practice Location Address:
1400 W BENSON BLVD STE 315
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-929-4009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2007