| NPI | 1497118574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW WINCZURA Owner/Provider 907-622-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 1032371) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |