| NPI | 1669638227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EBY Vice Prsident Medical Services 907-729-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 10662) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |