| 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 |