NPI | 1134599061 |
---|---|
Other Name | ORTHOPAEDIC RESEARCH CLINIC OF ALASKA |
Entity Type | Organization |
Authorized Contact | BEN L KENNAH Provider 907-644-6055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AK 103875) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2015-10-05 |