| NPI | 1467712190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANDREASSEN Physician/Member 907-895-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 2011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 2011) |
| 207P00000X Emergency Medicine (Licence: AK 5146) | |
| 207Q00000X Family Medicine (Licence: AK 5146) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: AK 2011) | |
| 363A00000X Physician Assistant (Licence: AK 980) | |
| 363A00000X Physician Assistant (Licence: AK 441) | |
| 363L00000X Nurse Practitioner (Licence: AK 883) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |