| NPI | 1487737284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL BRUNO BAURICK Owner 907-479-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: AK 297091) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 297091) |
| 261QP2300X Clinic/Center, Primary Care (Licence: AK 297091) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-10-10 |