NPI | 1710293006 |
---|---|
Doing Business As | HPG - PHYSICIAN HOME VISIT |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: AK 20467) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2023-09-14 |