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 Pain Medicine, Pain Medicine |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |