| NPI | 1477847184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HILL Office Manager 907-220-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2012-11-13 |