| NPI | 1306022314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BULLARD Systems Manager 907-751-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |