| NPI | 1083125355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DARRYL BISE President 907-512-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: AK 106389) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |