NPI Profile for SET FREE ALASKA INC in WASILLA, AK.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Addiction Medicine |
207LA0401X | 05 | Physician/Anesthesiology |
| NPI Number | 1053188508 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2023 | |
| Last updated | 08/20/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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SET FREE ALASKA, INC.
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