| NPI | 1376530493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DEAN LUCHT President 907-317-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: PA MD459090) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.144544) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD459090) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: IL 036.144544) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: AK 4967) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2018-03-17 |