| NPI | 1417934928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELLA K WILLIAMS Manager Biller 907-562-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AK 4461) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |