| NPI | 1164601860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA ISTURIS Billing Manager 907-789-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK AK589) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2009-06-30 |