| NPI | 1750945358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA POWELL Physician 907-562-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |