NPI 1467179903
Mac Mataafa
Practice location
- Address
- 3722 Parsons Ave, Anchorage, AK 99508-1216
- Phone
- (907) 258-1141
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1467179903
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2022
- Record last updated
- 25 Oct 2022
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.