| NPI | 1508089046 |
|---|---|
| Doing Business As | CAPSTONE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RENEE BLOMKER Rcm 907-864-4625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AK 4593) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-11-02 |