| NPI | 1467502567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA RITA MCGUIRE Billing Manager 907-862-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AK 3797) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-08-29 |