| NPI | 1598083222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY ARTHUR KILE Surgical Assist/Physician Assistant 907-351-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 853) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |