| NPI | 1720080328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KAVANAUGH President 907-334-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 309662) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-10-15 |