| NPI | 1639405947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NELS ANDERSON Sole Proprietor 907-262-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 1677) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |