| NPI | 1568158020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PFEIFFER Director Of Clinical Services 907-227-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-06-23 |