| NPI | 1336532274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE VERONICK Practice Administrator 907-222-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AK S3012) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-07-21 |