| NPI | 1467874933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL K VALERIUS Owner 907-841-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 5218) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |