NPI | 1568450476 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY V SAMUELSON Administrator 907-565-8055 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 203569) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2008-02-07 |