| NPI | 1043417959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F CRAWFORD Administrator 907-883-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK AA 2011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK AA 2011) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-07-07 |