| NPI | 1235329459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARDS VP Of Finance 907-463-4061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: AK 70206) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |