| NPI | 1275993685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MERLE SHOTWELL Owner/President 907-325-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 7517) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-03-02 |