| NPI | 1124670088 |
|---|---|
| Doing Business As | ALASKA CENTER FOR DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BRET S BLACKHART Owner 775-560-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |