| 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 |