| NPI | 1053619098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS J MILLER Physician Assistant Certified 907-523-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 944) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2023-06-14 |