| NPI | 1720486814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE M JOHNSON Owner 907-328-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AK 6017) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |