| NPI | 1710123161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS LAWRENCE Owner 907-304-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 915051) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |