| NPI | 1205298957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KIESSLING President, Medical Director 907-562-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 109696) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |