| NPI | 1124074869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CARROLL Business Manager 907-562-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AK 294179) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |