| NPI | 1083907711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANNE GILLESPIE Member 907-463-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 38) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AK 42) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |