| NPI | 1336443969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E RICHEY President 907-272-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 3291) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |