NPI | 1114079308 |
---|---|
Doing Business As | TALKEETNA DENALI FAMILY MEDICAL CLINIC LLC |
Entity Type | Organization |
Authorized Contact | JAMES ERNEST YATES Medical Director 907-733-2708 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 3773) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2018-06-21 |