| NPI | 1174716104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CORY BIEHL President 907-306-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-06-25 |