| NPI | 1063150043 |
|---|---|
| Doing Business As | EAGLE RIVER |
| Entity Type | Organization |
| Authorized Contact | THEODORE Y KIM Partner 907-677-5826 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |