| NPI | 1093710717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON H CHANDLER Owner 907-644-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AK 417904) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-01-15 |