| NPI | 1639271323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILUNED HOGENSON Owner President 907-456-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-10-23 |