| NPI | 1285661959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH KELLEY Owner Corporate Vice President 907-262-8597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-07-22 |