| NPI | 1437346111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A WINCZURA Owner/Manager 907-696-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK PAD 441) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |