| NPI | 1518300185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE PHELPS Office Manager 907-622-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 10011620) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-04-30 |