| NPI | 1629240874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T WEBER President 907-452-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AK 171) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2013-07-24 |