| NPI | 1689026247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRABTREE Managing Member 907-331-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2017-02-06 |