| NPI | 1427532613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SCOTT PIERCE Owner, M.D. 907-457-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-05-11 |