| NPI | 1174027296 |
|---|---|
| Doing Business As | TRIBAL - KKGB ANTHC |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 20467) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-08-31 |