| NPI | 1154452878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C HUNTER Medical Doctor 907-747-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 118937) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 118937) |
| 103TC0700X Psychologist, Clinical (Licence: AK 483) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-08-25 |