| NPI | 1093720534 |
|---|---|
| Doing Business As | PROVIDENCE MATANUSKA HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS PALMER Clinic Administrator 907-761-5916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-12-13 |