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NPI Code Detail

MEDICARE: SUNG BO ACUPUNCTURE & HERBS

MEDICARE: SUNG BO ACUPUNCTURE & HERBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist62AK

General Provider Information

NPI Number : 1093934614
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNG BO ACUPUNCTURE & HERBS
Provider Business Mailing Address
First Line : 4050 LAKE OTIS PKWY STE 107
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5220
Country : US
Telephone Number : 907-561-1828
Fax Number : 907-561-1834
Provider Business Practice Location Address
First Line : 4050 LAKE OTIS PKWY STE 107
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5220
Country : US
Telephone Number : 907-561-1828
Fax Number : 907-561-1834
Authorized Official
Title or Position : PARTNER
Name : DR. GRACE HWANG
Credential : PH.D., L.AC.
Telephone Number : 907-561-1828
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “SUNG BO ACUPUNCTURE & HERBS ” Practice Location

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