| NPI | 1033395603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ELLEN COWGILL Administrator 907-563-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-07-21 |