NPI 1275317133
Jason Tyrell
Practice location
- Address
- 5731 Radcliff Dr # 1, Anchorage, AK 99504-3019
- Phone
- (907) 339-4859
- Fax
- (907) 331-0463
- Mailing address
- 3844 Helvetia Dr, Anchorage, AK 99508-5016
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1275317133
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Aug 2023
- Record last updated
- 22 Aug 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.