| NPI | 1336504521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA POWELL Physician/Owner 907-562-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 79607D) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AK 79607D) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-11-15 |