| NPI | 1780050146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK CARDINAL Owner 907-441-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AK 6567) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |