| NPI | 1134640592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GLEN FITZGERALD Physician 907-376-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AK MEDS4644) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |