| NPI | 1386391696 |
|---|---|
| Former Legal Business Name | REDOUBT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOAN ITANO MERRICK Office Manager 907-283-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-08 |