NPI | 1063694750 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL LEINGANG Office Admin. 907-561-1917 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AK MD1417) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AK MD3686) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2011-11-22 |