| NPI | 1386792547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BEATY Billing Agent 907-644-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 902419) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |