| NPI | 1336136936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B ELLEN COWGILL Business Administrator 907-563-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-07-21 |