| NPI | 1144719014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON D MCCLOSKEY Owner/ Provider 907-222-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 1062590) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |