NPI | 1538391495 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT ADAM BARRINGER Member 907-276-6325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AK 491) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2009-08-24 |