| NPI | 1659417137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHOW Billing Agent/Practice Manager 907-770-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-04-21 |