| NPI | 1437487493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M LEE Physician/Owner 907-561-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: AK AA2448) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |