NPI | 1588702096 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA GAIL SKALA Owner Physician 907-696-8783 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4995) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 4994) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-06-20 |