| NPI | 1043294648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERONIMO SAHAGUN Managing Physician & CEO 907-276-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2019-03-25 |