| NPI | 1336685908 |
|---|---|
| Doing Business As | DR DAVID CHISHOLM |
| Entity Type | Organization |
| Authorized Contact | DAVID R CHISHOLM Owner 907-357-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |