| NPI | 1568952190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CARTER Director Of Billing 907-341-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-01-02 |