| NPI | 1558570648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINAMARIE STRUBLE Director 907-729-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AK 255468) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-11-06 |