| NPI | 1306018106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J. BLEICHER Sole Member 907-561-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AK 2038) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AK 2038) |
| 2086X0206X Surgery, Surgical Oncology (Licence: AK 2038) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |