| NPI | 1366596504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. KOLLER President 907-486-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AK DL282350) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-05-16 |