| NPI | 1790056927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STIEBER Owner 907-347-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AK 7024) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2017-01-17 |