| NPI | 1245771864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY BERG Office Manager 907-262-6454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AK 1049853) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |