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3375 Badger Rd, Suite 5, North Pole, AK 99705-6133 | |
(907) 488-1885 | |
(907) 488-1887 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3375 Badger Rd, North Pole, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225224199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 378 (Alaska) | Primary |
Provider Name | Wallace J Harrison |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659495919 PECOS PAC ID: 7517856008 Enrollment ID: I20050110000097 |
Mailing Address | Practice Location Address |
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3375 Badger Rd, Suite 5, North Pole, AK 99705-6133 Ph: (907) 488-1885 | 3375 Badger Rd, Suite 5, North Pole, AK 99705-6133 Ph: (907) 488-1885 |
Dr. Wallace J Harrison Jr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3375 Badger Rd, Suite 5, North Pole, AK 99705 Phone: 907-488-1885 |