| NPI | 1326162454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN C JAEGER Office Manager 907-789-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Q00000X Family Medicine | |
| 175F00000X Naturopath | |
| 101YM0800X Counselor, Mental Health | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-10-26 |