| NPI | 1174882971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HENRY-MUSA CEO 907-357-7710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: AK 1070929) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: AK 949810) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 1070929) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2022-05-24 |