| NPI | 1407171069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH MCANALLY Manager 907-622-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 940734) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 940734) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-10-26 |