| NPI | 1699808139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA BINGHAM Director 907-723-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 5104) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: AK 3748) |
| 207X00000X Orthopaedic Surgery (Licence: AK 5470) | |
| 207X00000X Orthopaedic Surgery (Licence: AK 5018) | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-14 |