| NPI | 1013551456 |
|---|---|
| Doing Business As | CAPSTONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RENEE BLOMKER Rcm 907-864-4625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-11-02 |