| NPI | 1033135447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENTON EDGAR STEPHENS Physician / Owner 907-375-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-09-28 |