| NPI | 1649314071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELLEN BURGER Office Manager 907-452-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK MD1621) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |