Luminary Integrated Health Inc | |
1900 W Benson Blvd Ste 101 Anchorage AK 99517-1973 | |
(907) 279-1838 | |
(907) 278-1811 |
Full Name | Luminary Integrated Health Inc |
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Speciality | Chiropractor |
Location | 1900 W Benson Blvd Ste 101, Anchorage, Alaska |
Authorized Official Name and Position | Judd Wattenbarger (OWNER) |
Authorized Official Contact | 9072791838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luminary Integrated Health Inc 1900 W Benson Blvd Ste 101 Anchorage AK 99517-1973 Ph: (907) 279-1838 | Luminary Integrated Health Inc 1900 W Benson Blvd Ste 101 Anchorage AK 99517-1973 Ph: (907) 279-1838 |
NPI Number | 1366901159 |
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Provider Enumeration Date | 03/19/2019 |
Last Update Date | 03/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366901159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
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