NPI | 1225633449 |
---|---|
Doing Business As | IDENTITY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | LYNN MURPHY Operations Director 907-929-4528 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-12-04 |
Last Update Date | 2022-03-11 |