| NPI | 1629287958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOLINE BERGSTROM Hs Director 907-452-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-07-23 |