NPI | 1114026069 |
---|---|
Doing Business As | RAY ANDREASSEN DO |
Entity Type | Organization |
Authorized Contact | RAY ANDERSON Physician Owner 907-895-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AK AA2011) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-08-12 |