NPI | 1720064884 |
---|---|
Doing Business As | ROCKMORE-KING CLINIC |
Entity Type | Organization |
Authorized Contact | TODD LANE EMERSON Clinic Administrator 907-487-5757 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
291900000X Military Clinical Medical Laboratory (Licence: AK 02D0666660) | |
332000000X MilitaryU.S. Coast Guard Pharmacy (Licence: AK NCPDP0202414) | |
Enumeration Date | 2005-12-21 |
Last Update Date | 2008-07-28 |