| NPI | 1760852388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KNOBEL SAGAN Nurse Practitioner, Owner 907-441-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AK 986) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |