NPI | 1447451737 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO A LANZA President 907-258-1258 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: AK 3753) |
Additional Taxonomies | 208D00000X General Practice (Licence: AK 3905) |
208D00000X General Practice (Licence: AK 4503) | |
Enumeration Date | 2007-05-31 |
Last Update Date | 2008-02-26 |