| NPI | 1609720861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN LURIE Owner 907-300-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |