| 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 |