Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical |
| NPI # | 1922559558 |
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| LBN Legal business name | TANANA VALLEY CLINIC LLC | ||||||||||||||||||||||||
| Authorized official | ANTHONY SUDDUTH - (CFO) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||
| Enumeration date | 10/19/2016 | ||||||||||||||||||||||||
| Last updated | 07/15/2025 - About 11 months ago | ||||||||||||||||||||||||
| Identifiers |
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TANANA VALLEY CLINIC LLC