NPI 1710293006

Southcentral Foundation

Organisation General Practice Physician Anchorage, AK

Practice location

Address: 4501 Diplomacy Dr, Anchorage, AK 99508-5919
Phone: (907) 729-4955
Mailing address: PO Box 35198, Seattle, WA 98124-5198

Authorised official

Name: Ronald Lee Olson
Title: Executive Vice President Finance
Phone: (907) 729-4939

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 20467 (AK)

Other General Practice providers in Alaska →

Registry record

NPI: 1710293006
Entity type: Organization
NPI issued: 24 Aug 2010
Record last updated: 14 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.