| NPI | 1699875450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R. ENDRES President 907-562-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AK 58236) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-03-22 |