| NPI | 1659687945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH SYLVAN DIXON Owner/President 907-451-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AK 2810) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AK 2810) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |