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 |