| NPI | 1659570414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F. KEIRSTEAD President 907-766-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 905468) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |