| NPI | 1043678758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GRIMES Nurse Practitioner 907-750-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 108130) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |