NPI | 1003244211 |
---|---|
Doing Business As | WILD IRIS FAMILY MEDICINE AND MATERNITY CARE |
Entity Type | Organization |
Authorized Contact | LISA HARRISON Owner/Physician 907-373-9463 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 5448) |
Enumeration Date | 2013-10-25 |
Last Update Date | 2014-10-20 |