| NPI | 1508051152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL E TOLBERT President 907-258-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |