| NPI | 1043000243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE BURGESS Manager 907-217-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 111N00000X Chiropractor | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-09-05 |