NPI | 1083171342 |
---|---|
Doing Business As | BOREALIS HEART SPECIALISTS |
Former Legal Business Name | AER MEDICAL, LLC |
Entity Type | Organization |
Authorized Contact | MICHELE PETTERSON Billing Manager 907-313-8411 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2019-02-22 |
Last Update Date | 2024-03-28 |