NPI | 1740342286 |
---|---|
Other Name | ALEKNAGIK SOUTH SIDE CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT CLARK CEO 907-842-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2006-12-14 |
Last Update Date | 2013-04-04 |