| NPI | 1033542899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BEATY Billing Agent 907-770-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AK 992752) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |