| NPI | 1457747800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S LYNN HORNBEIN Owner 907-272-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 2515) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |