NPI | 1366674699 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN M MURPHY Medical Director 907-770-5432 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 3162) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2010-11-18 |