Most Relevant Information
Provider Data
| NPI Number: | 1003549742 |
| Provider Name: | ALEX TRENTON BELTZ PSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 4870 |
Most Important Dates
| Enumeration Date: | 07/08/2022 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
26731 W POINT MACKENZIE RD
WASILLA
AK
996238709
Practice Location Phone/Fax
| Phone: | 9073764534 |
| Fax: | 9073762348 |
Provider Mailing Location
PO BOX 871545
WASILLA
AK
996871545
Provider Mailing Phone/Fax
| Phone: | 9073764534 |
| Fax: | 9073762348 |