| NPI | 1306209093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LOGAN Owner/Physician 907-982-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |