| NPI | 1194918367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M WITHAM President 907-452-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 4607) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |