| NPI | 1760691612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M CARROLL Practice Manager 907-644-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 904974) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-05-14 |