NPI | 1033958491 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNA MAVIS CONSTANCE MOISII Owner/Physician Assistant 907-921-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-05-23 |
Last Update Date | 2024-05-23 |