| NPI | 1619683968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLINDA SMITH Business Development Director 907-301-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-11-27 |