| NPI | 1528288578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALKER Executive Director 907-874-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 253502) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-10-29 |