| Full Spectrum Health, LLC | |
|
307 E Northern Lights Blvd Ste 201 Anchorage AK 99503-2701 | |
| (907) 229-9766 | |
| (888) 974-0807 |
| Full Name | Full Spectrum Health, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 307 E Northern Lights Blvd Ste 201, Anchorage, Alaska |
| Authorized Official Name and Position | Tracey Wiese (OWNER) |
| Authorized Official Contact | 9077274239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Health, LLC 307 E Northern Lights Blvd Ste 201 Anchorage AK 99503-2701 Ph: (907) 229-9766 | Full Spectrum Health, LLC 307 E Northern Lights Blvd Ste 201 Anchorage AK 99503-2701 Ph: (907) 229-9766 |
| NPI Number | 1407360977 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407360977 | NPI | - | NPPES |
| 1022312 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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