| NPI | 1013145002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL MARK MCCLENDON President 907-569-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AK 4215) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |