| NPI | 1750655320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GRAY Owner 907-563-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 482) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 469) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-03-05 |