| NPI | 1487810420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MORGAN Direcor Of Reimbursement 907-729-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 18317) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2010-09-01 |