| NPI | 1649584566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY R VINCENT Owner 907-357-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK AK5545) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK AK134) |
| 207Q00000X Family Medicine (Licence: AK AK5699) | |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: AK AK560) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |