| NPI | 1164647723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILSON TOTTEN President 907-747-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AK 227080) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 227080) |
| 207Q00000X Family Medicine (Licence: AK 227080) | |
| 207R00000X Internal Medicine (Licence: AK 227080) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-12-21 |